摘要
目的 通过对近 15年间在我院住院死亡的 92 2例老年病例进行回顾性调查 ,为老年疾病的防治提供科学依据。方法 死因分类按ICD 9编码 ,采用分组统计、年度顺序或时间段统计对死亡的老年患者性别、年龄、死因顺位、年度分布及死亡时间与死因的关系等进行分析。结果 老年人死亡人数占同期住院患者死亡总人数的 6 2 74 % ,其中又以男性占大多数。死亡顺位前五位恶性肿瘤、呼吸系统疾病、脑血管病、消化系统病及循环系统疾病 ,是导致老年人死亡的主要疾病。恶性肿瘤中以肺癌占首位 ,其次为消化系统恶性肿瘤。脑出血占我院 2 4h内死亡老年人的 1/ 3,其次为感染性休克、冠心病、急腹症、外伤及中毒等。结论 应加强对恶性肿瘤、心脑血管病等的防治工作 ,对老年病应积极进行卫生宣教。对住院的老年人应高度重视 ,采用积极措施 。
Objective To retrospectively investigate 922 dead cases of old inpatients in our hospital during the last fifteen years and to provide science evidence for the prevention and treatment of the aged disease.Methods We classified the causes of death according to the coding of ICD 9.We analysed dead old inpatients about their sex,age,cause of death in order,distribution of year,the relations between dead time and cause of death with statistics of dividing into groups,year in order or statistics of time section.Results The dead cases of old inpatients made up 62.74 percent of total dead inpatients in same year,and the male sex constituted the majority.The first five diseases of death were malignant tumor,disease of respiratory system,disease of cerebral vascular,disease of digestive system and circulative system,which were the chief diseases of causing death of old inpatints.Lung cancer held the first place in the malignant tumor,the later was carcinoma of digective system.Cerebral haemorrhage took nearly one thirds of the dead old inpatients in our hospital in 24 hours,the later were infectious shock,coronary heart disease,acute abdominal disease,trauma,toxicosis and soon on.Conclusion We should strengthen the prevention and treatment of the disease of heart and cerebral vascular,malignant tumor.The hygienic propaganda and education of the aged disease should be developed actively.The old inpatients should be taken seriously.We must take active mean and do our best to decrease their mortality rates.
关键词
老年患者
死亡调查
统计分析
The old patient
Investigation of death
Statistics analysis
