Survey and analyze the disease spectrum characteristics of 6 463cases of pediatric emergency disease
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摘要: 目的:了解儿科急诊疾病谱特点,提高儿科急诊医师的诊治水平和抢救成功率。方法:对2010-05-2011-05在我院儿科急诊就诊,随机选择诊断明确的6463例进行回顾性分析。结果:普通急诊患儿6172例(95.5%),发病年龄集中在28d~3岁,共4532例(73.43%),位列前五位疾病是上呼吸道感染4222例(68.41%),支气管炎623例(10.09%),腹泻病411例(6.66%),胃肠炎271(4.39%),支气管肺炎262例(4.24%)。重症急诊患儿291例(4.50%),发病年龄也集中在28d~3岁,共245例(84.19%),位列前5位疾病是重症肺炎99例(33.68%),惊厥67例(23.02%),腹泻病并脱水31例(11.00%),哮喘持续状态16例(5.5%),肺炎伴先心13例(4.47%)。结论:儿科急诊疾病谱以呼吸系统和消化系统常见的感染性疾病为主,发病年龄以婴幼儿居多,重症常继发休克、心力衰竭、呼吸衰竭而危及生命。应引起儿科急诊医生注意。Abstract: Objective:To analyze the disease spectrum characteristics of pediatric emergency disease,and to improve the diagnosis and treatment of pediatric emergency physicians and the success rate of rescue.Method:From May 2010~ May 2011,6 463patients who visited the pediatric emergency department of our hospital were retrospectively analyzed.Result:There were 6 172cases of children with ordinary emergency(95.5%).The age of onset is concentrated in 28days of~3years with a total of 4 532cases(73.43%).The top five diseases were upper respiratory tract infection in 4222cases(68.41%),bronchitis in 623cases(10.09%),diarrheal diseases in 411cases (6.66%),gastroenteritis in 271(4.39%),bronchial pneumonia in 262cases(4.24%).There were 291cases of children with severe emergency(4.50%).The age of onset is concentrated in 28day of~3years with a total of 245cases(84.19%).The top five diseases were severe pneumonia in 99cases(33.68%),seizure in 67cases(23. 02%),diarrhea and dehydration in 31cases(11.00%),continuous state of asthma in 16cases(5.5%),pneumonia complicated with congenital heart disease in 13cases(4.47%).Conclusion:Common infectious diseases of the respiratory and digestive systems are the mainly disease spectrum in pediatric emergency.Most patients are infants. Critically ill are often secondary to shock,heart failure,respiratory failure and are life threatening,and should be paid attention by pediatric emergency physicians.
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Key words:
- pediatric emergency medicine /
- disease spectrum
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