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目的分析心内科住院患者死亡的原因及其变化趋势,提高心血管疾病防治水平,降低死亡率。方法回顾分析某医院2006年-2015年心内科住院死亡患者病案资料,按照国际疾病分类标准(ICD-10)进行分类,对性别、年龄、主要死因、合并疾病、死亡季节进行统计分析。结果 2006年-2015年心内科住院患者死亡共计995人,平均住院病死率1.69%;男女比例均衡;平均死亡年龄73.4岁;60岁以上是病死高发年龄段;60岁以下死亡患者中男性多于女性;冠心病占据死因首位;合并心力衰竭比例达99.5%;夏季病死率最低。结论老年患者是心血管疾病死亡高危人群,降低冠心病的病死率是减少心内科住院患者死亡的关键,应积极控制心力衰竭的危险因素。
Objective To analyze the causes and trends of inpatient death in cardiology, improve the prevention and treatment of cardiovascular diseases and reduce the mortality rate. Methods A retrospective analysis was made on the medical records of inpatient deaths from a department of cardiology in a hospital from 2006 to 2015. The patients were classified according to the International Classification of Diseases (ICD-10), and sex, age, major causes of death, combined illness and death season were statistically analyzed. Results The total number of inpatient deaths in cardiology was 995 in 2006-2015, with an average in-hospital mortality rate of 1.69%. The average male-to-female ratio was equal. The average age of death was 73.4 years. More than 60 years of age was the highest risk of death. More men than 60 died Women; coronary heart disease accounted for the first cause of death; the proportion of heart failure with 99.5%; the lowest mortality in summer. Conclusion Elderly patients are at high risk of death from cardiovascular diseases. Reducing the mortality of coronary heart disease is the key to reducing the mortality of inpatients in cardiology department. Risk factors of heart failure should be actively controlled.