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50年精神科住院病人死亡原因的变迁
引用本文:陈进,王筱兰.50年精神科住院病人死亡原因的变迁[J].临床精神医学杂志,1999,9(2):68-69.
作者姓名:陈进  王筱兰
作者单位:南京医科大学附属脑科医院
摘    要:目的:探讨不同年代精神科病人住院期间死亡原因的变迁。方法:对我院精神科1948 ̄1997年期间住院病人54341例中死亡的178例作回顾性调查。结果:总死亡率为0.33%,逐年有明显下降,并发症及躯体疾患死亡者亦逐年下降。死亡以自杀最多(37.6%),其次为躯体疾患(30.90%)。结论:说明50年来医院管理水平、医疗质量有明显提高,但仍应做好病房管理工作。

关 键 词:精神疾病  死亡率  自杀  死因分析  住院病人

The change in the cause of death of psychiatric inpatients over fifty years
Chen Jin,Wang Xiaolan,Zhai Shutao.The change in the cause of death of psychiatric inpatients over fifty years[J].Journal of Clinical Psychological Medicine,1999,9(2):68-69.
Authors:Chen Jin  Wang Xiaolan  Zhai Shutao
Institution:Chen Jin,Wang Xiaolan,Zhai Shutao.Brain Hospital Affiliated to Nanjing Medical University,Nanjing 210029
Abstract:Objective:To study the change in the cause of death of psychiatric patients over fifty years time. Method:Records of a total of 54 341 inpatients admitted to the hospital between 1948 and 1997 were reviewed. Results:178(0 33%)died during hospital stay.Suicide(37 6%)topped the list.Death caused by medical diseases(30 9%)came second.The annual incidence decreased significantly with time,and was marked by the substantial decrease in death due to medical diseases and treatment complication. Conclusion:Decreasing trend of death of psychiatric inpatients suggested improvement management in the past fifty years.However,completed suicide remains substantial and more effort for prevention is required.
Keywords:Psychiatric inpatients    Death rate    Suicide
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