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目的通过对住院死亡病例的统计分析,探讨江苏某三甲医院住院死亡病例的死因构成及特点。方法收集该院2010—2014年住院死亡病例的病案资料,用Excel 2010、SAS 9.2软件进行回顾性统计分析。结果 2010—2014年全院总病死率为1.07%;男性病死率明显高于女性;死亡病例以60岁以上为主(49.32%);死因顺位前5位分别是循环系统疾病、肿瘤、伤害、呼吸系统疾病、消化系统疾病;恶性肿瘤主要以肺癌、肝癌、胃癌为主。结论医院应加强医疗保健工作,针对不同年龄段的主要疾病进行健康教育,预防慢性病及其并发症,提高生存质量。
Objective To investigate the composition and characteristics of the cause of death in inpatient deaths in a top three hospital in Jiangsu Province through statistical analysis of in-patient deaths. Methods The hospital records of in-hospital deaths from 2010 to 2014 were collected and retrospectively analyzed with Excel 2010 and SAS 9.2 software. Results The total case fatality rate was 1.07% in 2010-2014. The male mortality rate was significantly higher than that in women. The death rate was predominantly over 60 years old (49.32%). The top 5 causes of death were circulatory diseases, , Respiratory diseases, digestive diseases; malignant tumors mainly lung cancer, liver cancer, stomach cancer-based. Conclusion The hospital should strengthen medical and health care, carry out health education on the main diseases of different age groups, prevent chronic diseases and their complications, and improve the quality of life.