论文部分内容阅读
目的开展重庆市三峡库区外部原因所致损伤住院患者统计分析,指导人们防范、减少伤害。方法根据三峡库区2015年卫生统计网络直报出院患者病案首页,采用国际疾病ICD-10分类筛选13 187例主要诊断为ICD-10编码S00-T14的损伤病例,按年龄分组,对损伤住院患者损伤部位、外部原因、发病月份等进行分析。结果损伤外部原因意外跌伤、交通事故为主,分别占39.24%、26.30%;发病以3月份居首,男女之比1.93,25岁~59岁患者占50%以上;头部、膝和小腿、躯干损伤分别占30.77%、10.14%、9.22%;病死率0.85%,死亡112人(1天内死亡45人)。结论意外跌伤、交通事故是损伤的主要原因。人们遇到意外时首要保护头部,其次胸、腹、背部;儿童青少年运动注意保护四肢。老年人损伤宜及早治疗,减少损伤并发症的发生。
Objective To carry out statistical analysis of inpatients with injuries caused by external causes in the Three Gorges Reservoir area of Chongqing and to instruct people to prevent and reduce injuries. Methods According to the 2015 medical statistics network of the Three Gorges reservoir area, the patients were discharged directly from the home page of the medical records of the hospital, and 13 187 cases with ICD-10 code S00-T14 diagnosed by the international disease ICD-10 classification were selected and grouped according to age. The injury site, external cause, month of onset, etc. were analyzed. Results The external causes of injury were accidental falls and traffic accidents, which accounted for 39.24% and 26.30%, respectively. The incidence was highest in March. The ratio of male to female was 1.93, and patients aged 25 to 59 accounted for more than 50%; head, knee and lower leg The trunk injury accounted for 30.77%, 10.14%, and 9.22%, respectively; the mortality rate was 0.85%, and 112 deaths (45 deaths within 1 day). Conclusion Unexpected falls and traffic accidents are the main causes of injuries. In the event of an accident, people protect their heads first, followed by their chest, abdomen and back; children and adolescents take care to protect their limbs. Elderly injury should be treated as soon as possible to reduce the incidence of injury complications.