目的：分析0～14岁儿童意外损伤、中毒住院病例的情况，为防范儿童损伤、中毒提供参考依据。方法病例来自某院2011年-2013年3396例因损伤、中毒而住院的儿童，对其外部原因进行分类、统计。结果损伤、中毒原因前五位分别是：烫（烧、腐蚀）伤、交通事故、跌倒/坠落、异物伤、有毒物质中毒，占全部患者的91.2%；发生年龄主要是1岁～3岁年龄组，占全部病例的50%，患病构成随着年龄的增加呈下降趋势；不同年龄组损伤、中毒病例构成在性别间有显著差异，男童的病例构成高于女童；住院患者病死率为3.24‰；平均住院日10.6天（中位数7天），平均住院费用9205.4元（中位数4630.3元）。结论损伤、中毒已成为儿童时期的主要健康问题，应采取综合安全防范措施，重点应针对这五类原因的防范。%Objective To analyze children accident injury and poisoning of 0-14 years old, to provide reference for preventing injury and poisoning in children. Methods The external reasons of 3396 cases injury, poisoning children from 2011 to 2013 in our hospital were classified and analyzed. Results The top five injury, poisoning reasons were:hot (burn, corrosion) injury, traffic accident, falling injury, foreign body, toxic substances poisoning, accounted for 91.2%of all patients;1 to 3 year old age group, accounting for 50%of all cases. It was showed a descending trend with the increase of age in the case of different age groups;There was a significant difference in gender, boys higher than girls;in-hospital mortality rate was 3.24 per thousand;the average hospitalization days of 10.6 days (median 7 days), the average hospitalization expenses of 9205.4 yuan (median 4630.3 yuan). Conclusion Injury, poisoning has become a major health problem in children period, we should take comprehensive security measures, the focus should be on guard for the five kinds of reasons.
展开▼
