某综合医院3514例死亡病例网络报告资料分析

目的探讨3 514例医院死亡病例的年龄、职业、科室及死亡原因分布,找出威胁生命的主要因素,为提高生命质量及医院管理水平提供依据。方法使用全国死因登记报告信息系统进行数据录入,按照国际疾病分类第10版（ICD-10）编码,对死亡病例进行分析。结果 40岁以上死亡病例的构成比明显增高;生产运输设备操作及有关人员、专业技术人员两种职业死亡病例占死亡病例总数54.7%;急诊科、重症医学科两个科室死亡病例报告占67.7%;循环系统疾病、恶性肿瘤死亡病例报告占70.5%。结论综合医院应加强急诊科、重症医学科建设,关注40岁以上患有循环系统疾病、恶性肿瘤的患者;加强患者健康教育,提高医疗诊治水平,降低患者死亡率。

Analysis on Reporting Data of 3,514 Death Cases in a General Hospital

Objective To explore the distribution of age,occupation,department and the causes of death cases,to find out the main factor of death and provide a basis for improving the quality of life and the level of hospital management. Methods The data about death cases were entered using the National Death Cause Reporting System,and then the death cases were analyzed according to the death cause code in "International Classification of Diseases,10th edition(ICD-10)". Results The constituent ratio of death cases with age older than 40 years was significantly increased.The death proportion of the workers of production and transport equipment operation and professional technical personnel was 54.7%.The death-case reporting proportion of emergency department and critical care medicine department was 67.7%.The death-case reporting proportion of circulatory system disease and malignant tumors was 70.5%. Conclusions It is necessary for the general hospital to strengthen the development of emergency department and critical care medicine department,pay more attention to the patients aged above 40 years and suffered from circulatory system disease or cancer,strengthen health education among the patients,and raise the level of diagnosis and treatment so as to decrease the mortality of the patients.