上海市5岁以下儿童死亡病例报告与评审分析

目的能及时准确地掌握本市5岁以下儿童死亡情况及相关因素,为制定干预措施提供依据。方法对本市2003年5岁以下儿童死亡病例报告和评审结果进行分析。结果全年上报死亡病例528例,评审病例169例,死因顺位前5位的是疾病、意外、先心、早产、新生儿窒息。评审结果有21.30%的病例为可避免死亡或创造条件可避免死亡。结论应积极开展健康教育,加强孕期保健及孕期监测,推广产科、儿科适宜技术,提高儿科医疗质量和急救技术,同时提高儿童安全防范意识,减少意外事故发生,从而有效地降低儿童死亡率。

Death case report and analysis of children below 5 years-old in Shanghai

Objective To learn the death status of children below 5 years old in Shanghai and related factors timely and precisely so as to provide a basis for formulating interventions. Methods We analysed the death cases and appraised results of children below 5 years old in Shanghai in 2003. Results Annual death cases submitted were 528 and appraised cases were 169. The first 5 reasons of death were in sequence as: disease, accident events, congenital heart diseases, premature delivery and asphyxia neonatorum. Result: 21.3% of death cases could be avoided or would have been avoided if some conditions had been created. Conclusion We should develop health education, intensify health care and supervision in pregnancy, popularize suitable techniques in obstetrics and paediatrics and improve the paediatric medical quality and emergency techniques. At the meantime, we should also raise the consciousness of children's safety to avoid occurrence of accident events and lower the death rate of children thereby.