Abstract:

Objective　By analyzing the cases of accidental injuries among critically ill children in our hospital in recent years，we put forward feasible preventive measures to effectively reduce the occurrence of accidental injuries. Methods　A retrospective analysis was performed on the clinical data of children who were admitted to the PICU in our hospital from May 1，2015 to April 30，2018；the types of children with accidental injuries were analyzed，and the male-to-female ratio of the results was analyzed. Seasonal characteristics，age，and the proportion of deaths were analyzed. Results 　It was found that the top three causes of accidents in critically ill children were falling injuries（246，39.87%），traffic accidents（156，25.28%），and poisoning（57，9.23%）. The incidence of accidental injuries for boys was significantly greater than that for girls；there were 375 boys and 242 girls，the ratio being 1.55∶1；severe accident injuries peaked in early childhood（1～4 years old）；there was no significant difference between urban and rural areas. Conclusion　The accidental injuries in critically ill children have undergone tremendous changes. We should adopt preventive measures to reduce accidental injuries.

Key words: accidental injury, critical illness, child

摘要：

目的    分析儿童意外伤害危重症病例资料， 提出可行性预防措施。方法　回顾性分析江西省儿童医院重症医学科儿科重症监护病房（PICU）2015 年5 月1日至2018 年4 月30日收治的儿童意外伤害危重症病例617例的临床资料。对不同种类意外伤害的男女比例、季节特点、年龄分布以及死亡占比等因素进行分析。结果　儿童危重症意外伤害原因排名顺序为坠落（跌落）伤246例（39.87%）、交通伤156例（25.28%）、中毒57例（9.23%）；男性儿童意外伤害发生率明显大于女性，男性儿童占375例，女性占242例，比例为1.55∶1；危重症意外伤害以1～4岁为高峰；城乡间差异无统计学意义。结论　儿童危重症意外伤害的特点已发生了变化，应积极采取针对性预防干预措施。

关键词: 意外伤害, 危重症, 儿童