离休干部172例在院死亡疾病谱分析

目的：探讨在长海医院住院去世的上海军队离休干部的死亡原因及其变化趋势。方法选取1985年3月至2013年1月上海军队干休所死亡离休干部172例及其死亡登记表，分析死因顺位及死因构成比。结果1985年1月～2013年1月，该队列人群前5位死因构成比分别为：肿瘤（41.9%），神经系统疾病（16.9%），循环系统疾病（15.7%），呼吸系统疾病（10.5%）和内分泌、营养与代谢疾病（7.6%）。前5位死亡病种分类构成比分别为：肿瘤（42.4%），冠心病（12.8%），慢性阻塞性肺疾病（8.7%），脑梗死（8.1%）和2型糖尿病（7.6%）。肿瘤死亡顺位及构成比前8位分别为：肺癌（35.6%），胰腺癌（9.6%），直肠癌和胃癌（均为8.2%），前列腺癌和肝癌（均为5.5%），淋巴瘤和多发性骨髓瘤（均为4.1%）。结论肿瘤是老年患者最主要的致死原因，心脑血管疾病也是老年患者住院死亡的主要原因之一，应加强肿瘤与心脑血管疾病的防治工作。

Death causes of hospitalized retired military veterans: 172 cases analysis

Objective To investigate the causes of death of retired military veterans in who died in Changhai Hospital. Methods Causes of death were analyzed and sequenced based on the medical records of 172 inpatients who died in Changhai Hospital from March 1985 to January 2013. Results The five leading causes of death were Tumor （41.9%）, nervous system （16.9%）, circulatory system （15.7%）, respiratory system （10.5%）, and endocrine and metabolic diseases （7.6%）. The five leading disease entities of death were tumor （42.4%）, coronary heart disease （12.8%）, chronic obstructive pulmonary diseases （8.7%）, cerebral infarction （8.1%） and diabetes （7.6%）. The eight leading causes of death in tumor due to tumors were lung cancer （35.6%）, pancreatic cancer （9.6%）, colorectal cancer and gastric cancer （both 8.2%）, prostate cancer and liver cancer （both 5.5%）, lymphoma and multiple myeloma （both 4.1%）. Conclusion Tumor is the leading cause of death in hospitalized retired military veterans. And cardiovascular and cerebrovascular diseases are also the primary causes of death in these elderly patients. So we should continue to strengthen the prevention and treatment of tumor and cardiovascular and cerebrovascular diseases.