2003-2014年武汉市儿童医院住院儿童死亡病例分析

目的分析武汉市儿童医院12年间住院死亡儿童年龄分布、入院后死亡时间、死亡原因、住院病死率及其变化趋势。方法对武汉市儿童医院2003-2014年间住院儿童中1 179例死亡病例进行回顾性统计分析。结果 2003-2014年间住院儿童总病死率为0.19%,前10年各年度病死率无显著变化,从2013年开始病死率有下降趋势;死亡儿童中以新生儿居多,占39.02%,其次为1岁以内婴儿,占31.98%;死亡时间大部份为入院后9d内;死亡原因按系统分类前五位是新生儿疾病、呼吸系统疾病、先天畸形、神经系统疾病及消化系统疾病;主要死因疾病单病种前五位是肺炎、先天性心脏病、中枢神经系统感染、脓毒症和新生儿感染性肺炎。结论降低住院儿童病死率重点是提高新生儿疾病、感染性疾病和先天畸形的诊治水平。

Analysis of hospitalized children death cases in Wuhan Children's Hospital from 2003 to 2014.

Object To analyze the age distribution,death time,cause of death,hospital mortality of hospitalized children death cases in Wuhan Children's Hospital during nearly twelve years,and try to point out the variation trend. Methods A retrospective statistical analysis was used on 1 179 hospitalized children death cases from 2003 to 2014 in Wuhan Children's Hospital. Results The total mortality among hospitalized children was 0.19% from 2003 to 2014.In previous 10 years,the alteration of mortality rate in each year had no significance.From the beginning of 2013,the trend of mortality rate was decreased.The majority death age of hospitalized children death case was neonatal,accounted for 39.02%.The second was 1 year old infants,accounted for 31.98%.And most of the time of death was within 9 days after admission.In accordance with the system to classification,the top five causes of death were neonatal disease,respiratory diseases,congenital malformations,nervous system diseases and digestive diseases,respectively.The top five diseases of death were pneumonia,congenital heart disease,central nervous system infections,sepsis and neonatal pneumonia,respectively. Conclusions The focal point of reducing hospitalized children death is improving the level of diagnosis and treatment of dangerous diseases,such as neonatal disease,infectious diseases and congenital malformation.