1986～2001年武汉市2所综合医院妇科猝死病例的回顾性分析

目的 :调查妇科住院患者的死亡及猝死发生率 ,了解妇科猝死的基本情况。方法 :收集整理 2所综合医院 1 6年来妇科死亡病例 31例和猝死病例 7例 ,按 4个阶段年分别统计分析妇科的死亡及猝死的发生率、猝死与死亡之比 ,探讨妇科死亡及猝死的特点及变化 ,找出猝死病因和病种的构成比及顺位。结果 :1 6年来妇科住院患者的总死亡发生率和猝死发生率分别为 1 3 .1 3/万、2 .96/万。死亡的绝对数和发生率均呈下降趋势。猝死与死亡之比从 1 986～ 1 989阶段年的 7.69% (1 /1 3)上升到 1 998～2 0 0 1阶段年的 50 .0 0 %(2 /4) ,即死亡率的下降程度远远大于猝死率的下降程度。主要猝死原因为心脏性猝死和肿瘤 ;猝死病因及病种的顺位是 :心脏性猝死、肿瘤、异位妊娠等。结论 :妇科住院患者死亡的绝对数和发生率明显下降 ,但猝死的绝对数无下降趋势 ,而且发生率降低较慢 ,虽然治疗技术的进步和认识的提高 ,但猝死的预测及预防仍较困难。猝死的发生机制、病理生理变化等尚有待于深入研究

Incidence of adult sudden death in the departments of gynecology from two general hospitals in Wuhan during 1986～2001

Objective:To investigate the incidence of sudden deat h (SD) in the departments of gynecology from two general hospitals in Wuhan duri ng 1986～2001.Method:The data were analyzed retrospectively from the Depart ments of Gynecology in two general hospitals.There we re 23 615 cases who were investigated during hospitalization in 16 yea rs.Results:The numbers of death and SD wer e 31 and 7 respectively.The incidence of dea th and SD were 1.313‰ and 0.296‰,and these numbers were decreasing.The ratio of the SD and death recreated from 7.69%(1/13) during 1986～1989 to 50.00%( 2/4 ) during 1998～2001.The rank of the SD causes was put in order.The first is su dden cardiac death (SCD).The second was tumors.The third was ectopic pregnancy. Conclusions:The incidence and the number of death are red uced evidently.But the incidence of SD is reduced slower,and the number of SD i sn't reduced,which means improving the levels of diagnosing and curing is effec t ive measure to decrease SD.But the forecast and the prevention of SD are bafflin g problems at present,and the pathogenesis and pathophysiologic changes can not be clarified yet.