目的　了解儿童四肢伤害的流行病学特征及变化趋势。方法　采用分层抽样的方法 ,对滕州市 4个乡镇的 33 6 2 8名 0～ 14岁儿童一年中四肢伤害情况进行调查 ,并对 1994～ 1998年住院肢体伤害患儿观察分析。结果　四肢伤害发生率 2 .96 % ,男女之比为 3 .2 0∶1,上肢伤害多于下肢。前3位伤害类型依次为 :跌伤、钝 /锐器伤、车辆伤。 5～ 10月份为发病高峰期。肢体伤害发生率呈上升趋势 ,致残率为 115 .97/ 10万。结论　应针对不同年龄儿童的特点和伤害原因 ,采取相应措施 ,以减少儿童意外伤害的发生 Objective To understand the epidemiological characteristics of children limbs and changes in trends. Methods A stratified sampling method was used to investigate the limb injuries of 33 628 children aged 0-14 years old in 4 towns and townships of Tengzhou City in one year. The incidence of physical injuries in hospital from 1994 to 1998 was analyzed. Results The incidence of limb injury was 2.96%, the ratio of male to female was 3.02: 1, upper limb injuries than lower limbs. The first three types of injuries are: falls, blunt / sharp injuries, vehicle injuries. 5 to October peak incidence. The incidence of limb injuries is on the rise, with a morbidity of 115.97 / 100,000. Conclusion The characteristics of children of different ages and the causes of injuries should be taken accordingly to reduce the occurrence of accidental injuries in children