论文部分内容阅读
为探讨我院 18a来内科疾病的死亡特点 ,提高临床治愈率 ,对常见疾病人群的防治提供参考 ,收集我院内科 18a的 1883例住院死亡病历 ,统计各系统疾病的死亡例数、病死率及死因顺位 .结果显示 :年病死率从 1981年的 9 6 6 %逐年下降至 1998年的 2 6 6 % ,平均病死率为 3 87% .前 5位的死因顺位在 80年代依次是心血管疾病、呼吸系疾病、恶性肿瘤、脑血管病、消化系疾病 ;而 90年代则依次为恶性肿瘤、心血管疾病、呼吸系疾病、脑血管病及消化系疾病 ,两者比较有显著性差异 (P <0 0 0 1) .90年代恶性肿瘤的病死率居首位 ,需对特定人群进行定期的健康普查 ,做好癌前病变的监测 ,提高早期癌症的检出率 ;加强心脑血管及呼吸系统疾病的防治 ,及早控制高血压、高脂血症及糖尿病等 ,提高生存率 .
In order to explore the characteristics of death in internal medicine in our hospital for 18 years, improve the clinical cure rate, provide reference for the prevention and treatment of common diseases, collect 1883 cases of hospital deaths in our department of internal medicine for 18 years, and count the number of deaths and mortality of various system diseases. The cause of death was ranked. The results showed that the annual mortality rate decreased from 966 percent in 1981 to 266 percent in 1998, and the average case fatality rate was 387 percent. The top five cause of death was the heart in the 1980s. Vascular diseases, respiratory diseases, malignancies, cerebrovascular diseases, and digestive diseases; and in the 1990s, malignant tumors, cardiovascular diseases, respiratory diseases, cerebrovascular diseases, and digestive diseases were in turn. There were significant differences between the two. (P < 0 0 0 1). The mortality rate of malignant tumors ranked first in the 1990s. Regular health screenings must be conducted on specific populations to monitor precancerous lesions and improve the detection rate of early cancers; strengthen cardiovascular and cerebrovascular diseases. Prevention and control of respiratory diseases, early control of hypertension, hyperlipidemia and diabetes, improve survival.