1349例意外损伤住院儿童分析

目的:分析儿童意外损伤的类别及相关因素。方法:对1349例儿童意外损伤住院病例按国际损伤分类标准,对损伤类别、构成、年龄、性别、住院费用及天数进行分析。结果:儿童意外损伤占同期住院患儿及全部意外损伤住院人数的8%,是导致同期1月以上年龄住院患儿死亡的第1位原因。儿童意外损伤的前4位原因是交通事故、意外跌落、烧烫伤和意外中毒。男女比为1.79∶1。交通事故和意外跌落高峰年龄段在4～9岁,烧烫伤和意外中毒主要发生在3岁前。其中交通事故的平均住院费用最高,平均住院时间最长。坠落物致伤及机器致伤也占一定比例,分别为3.92%和1.33%。结论:应当大力开展儿童意外损伤危险因素的识别和干预,以减少儿童意外损伤的发生。

Analysis on 1 349 hospitalized children with unintentional injuries

Objective:To analyze sorts and related factors of unintentional injuries of children.Methods:According to international statistical classification of diseases and related health problems, a retrospective analysis on injury sorts, form, age, sex, hospitalization expense and duration was made on 1 349 hospitalized children with unintentional injuries.Results:1 349 unintentional injury children were account for 8% of all pediatric inpatients and all unintentional injury inpatients during the same time. The child unintentional injury was the first reason for child death in all pediatric inpatients aged over one month. The traffic accidents, unintentional falling, scald and burns and accidental poisoning were the commonest causes related to child unintentional injuries. The ratio between girls and boys was 1.79∶1. The peak age of traffic accidents and falling were 4～9 years old, but it was before 3 years old in the scald and burns and accidental poisoning. The longest hospitalization time and the highest fees occurred in traffic accidents.Injuries from downfallen objects and machines accounted for 3.92% and 1.33%, respectively.Conclusion:Identification and intervention on unintentional injuries of children should be developed to decrease the incidence.