作　　者： ; ; ;

机构地区： 佛山市妇幼保健院

出　　处： 《中华临床医师杂志（电子版）》 2019年第1期13-16,共4页

摘　　要： 目的分析儿童重症监护治疗病房(PICU)重症意外伤害儿童临床及预后情况。方法回顾性分析广东省佛山市妇幼保健院PICU2012年1月至2018年10月收治的118例重症意外伤害儿童的一般情况、临床资料和预后情况。对118例患儿的性别、地域分布、来源、有无监护人员在场等资料的组间比较,对不同年龄组儿童重症意外伤害的发生率和种类的比较采用χ^2检验。结果共收治重症意外伤害患儿118例,占同期PICU收治患儿总数的9.60%,其中男孩72例,女孩46例。不同年龄组意外伤害的发生例数和发生率:婴儿组39例(33.05%),幼儿组53例(44.92%),学龄前儿童组19例(16.10%),学龄期儿童组6例(5.08%),青春期组1例(0.85%)。不同年龄组儿童重症意外伤害的发生率差异有统计学意义(χ^2=104.72,P<0.05),幼儿组的发生率最高。意外伤害种类按照发生例数(发生率)排序依次为气管异物41例(34.75%)、窒息22例(18.64%)、中毒18例(15.25%)、溺水14例(11.86%)、交通意外7例(5.93%)、消化道异物7例(5.93%)、烧烫伤3例(2.54%)以及其他6例(5.08%)。不同年龄组意外伤害原因比较,差异有统计学意义(χ^2=102.92,P<0.05)。患儿平均住院时间9.48d,平均住院花费9126元。死亡病例17例,死亡原因中溺水7例,窒息6例,中毒3例,其他1例。结论重症意外伤害患儿中男孩多见,幼儿组发生率高。溺水、窒息是前两位的意外伤害死亡原因。应强化安全意识,注重安全教育,减少儿童意外伤害发生。 Objective To analyze the characteristics and prognosis in children with severe accidental injuries admitted to pediatric intensive care unit (PICU).Methods A retrospective study of 118 children with severe accidental injuries admitted to PICU from Jan.2012 to Oct.2018 were carried out.Results One hundred and eighteen patients in total were included,accounting for 9.60% of the total number of the children admitted to the PICU,among them 72 were boys,46 were girls.The incidence rates of accidental injuries of the children aged 0~1 (n=39),1~3 (n=53),3~6 (n=19) were 33.05%,44.92%,19.10% respectively.The types of accidental injuries arranged according to the incidence from high to low were foreign bodies in bronchus (n=41),suffocation (n=22),poisoning (n=18),drowning (n=14),foreign bodies in gastrointestinal tract (n=7),traffic accident injury (n=7),burning (n=3),and others (n=6).The average hospitalization time was 9.48 days,and the average cost was 9,126 RMB.There were 17 deaths,including drowning (n=7),suffocation (n=6),poisoning (n=3) and others (n=1).Conclusion Among children with severe accidental injuries,boys are more common,and the incidence is higher in the infant group,those have longer hospital stays and higher costs than non-accidental injuries patients.Drowning and suffocation were the first two accidental injury death causes.To reduce accidental injuries,we should strengthen safety education and awareness for parents.

关 键 词： 儿童重症监护室 意外伤害 临床及预后 儿童

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