引用本文:段捷华.儿科住院病例1788例临床分析[J].中国临床新医学,2012,5(12):1140-1143.
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儿科住院病例1788例临床分析
段捷华
537100 广西,贵港市妇幼保健院儿科
摘要:
[摘要] 目的 了解贵港市妇幼保健院普通儿科住院病例的临床特点,为做好该地区儿童疾病医疗和预防保健工作提供科学依据。方法 对该院儿科2011-01-01~2011-12-30 1 788例儿科出院电子病案资料进行回顾性统计分析。结果 住院儿童男女比例为2.11∶1;0~12月患儿共1 285例,占全部病例的71.87%;疾病构成比较大的是急性支气管炎、肺炎、小儿肠炎、急性上呼吸道感染、地中海贫血;平均住院时间为5.23 d;出院病例按季节分布分别是483例(27.01%)、476例(26.62%)、359例(20.08%)、470例(26.29%);出院病例按月份构成比较大的是3月(12.64%)、4月(12.08%)、12月(10.46%);治愈率为54.19%,好转率为36.30%,病死率为0.11%,治疗总有效率为90.49%。结论 儿科住院病例临床特点是:(1)男性明显多于女性;(2)以12个月以内的小婴儿为主;(3)以呼吸、消化系统感染性疾病为主;(4)住院时间短;(5)季节性不明显,但3月、4月及12月出院病例数较多,应引起临床医师及医院管理者的高度重视。
关键词:  住院  临床特点  儿童
DOI:10.3969/j.issn.1674-3806.2012.12.14
分类号:R 725
基金项目:
Clinical analysis of 1788 pediatric inpatients
DUAN Jie-hua
Department of Pediatrics, Guigang Maternal and Child Health Hospital, Guangxi 537100,China
Abstract:
[Abstract] Objective To understand the clinical situation of general pediatric inpatients in Guigang Maternal and Child Health Hospital,in order to provide a scientific basis for the treatment and preventive health care of childhood diseases in the region.Methods The electronic medical records of 1 788 discharged pediatric inpatients from January 1,2011 to December 30 were analyzed retrospectively.Results In hospitalized children male was more than female;0~12 months′ baby was most, a total of 1 285 cases,accounting for 71.87% of cases;the top five diseases in order were acute bronchitis, pneumonia, infantile enteritis,acute upper respiratory tract infection,Mediterranean anemia; the average hospitalization time was 5.23 days; seasonal distribution was not obvious, in spring, summer, autumn, winter patients′number were 483 cases (27.01%),476 cases (26.62%),359 cases (20.08%),470 cases (26.29%) respectively; according to discharged month,the top three place in order were March (12.64%), April (12.08%), December (10.46%); the cure rate was 54.19%, the improvement rate was 36.30%, mortality was 0.11%, the total effective rate of treatment was 90.49%.Conclusion Clinical features of paediatric inpatients are (1)male more than female;(2)the baby within 12 months is in the majority;(3)infectious diseases of respiratory and digestive system are common;(4)hospitalization time is short;(5)season distribution is not obvious but in March, April and December there was more number in discharged patients, so it should be paid attention by clinicians and hospital managers.
Key words:  Hospitalization  Clinical features  Children