Abstract：Objective To provide scientific basis for the diagnosis and treatment of children′s accidental injury by analyzing the characteristics of children′s accidental injury in the emergency department.Methods Children with accidental injuries were included in this study from January 1, 2017 to December 31, 2019. The age of the children was 0-14 years old. The etiology was analyzed according to ICD-10. The clinical characteristics of external injury were analyzed.Results Totally 734 children with accidental injuries were included in this study, 416 cases (56.7%) in boys and 318 cases (43.3%) in girls, with an average age of 7.2 ± 2.4 years old. The distribution composition of different age groups: 35.3% in the less than one year group, 25.2% in the 1-5 year group, 21.5% in the 6-10 year group and 18.0% in the 11-14 year group. The top three causes of accidental injury were fall (16.2%), foreign body in trachea (13.6%), traffic accident (13.6%). The proportion of head and face, limbs, trunk and compound injuries were 19.2%, 30.4%, 31.3% and 19.1% respectively.Conclusion Fall, foreign body in trachea and traffic accident are the main causes of children′s accidental injury in the emergency department of the hospital. Thus, the intervention measures should be formulated according to the causes of children′s accidental injuries to reduce the occurrence of accidental injuries.
谢杰，江顺德. 2017—2019年某医院急诊科734例儿童意外伤害临床特征分析[J]. 中国医院统计, 2020, 27(5): 413-415.
Xie Jie, Jiang Shunde.. Analysis of the clinical characteristics of 734 children with accidental injuries in the emergency department of a hospital from 2017 to 2019. journal1, 2020, 27(5): 413-415.
［1］NING P S, GAO D Y, CHENG P X, et al. Needs analysis for a parenting app to prevent unintentional injury in newborn babies and toddlers: Focus group and survey study among Chinese caregivers［J］. JMIR Mhealth Uhealth, 2019, 7(4):e11957. DOI:10.2196/11957.
［2］姜丹丹.苍南县2014—2017年5岁以下儿童死亡情况分析［J］.中国医院统计,2019,26(1):62-64.
［3］YAMAMOTO N, HONDA C, NAGATA S. Current trends and agebased differences of unintentional injury in Japanese children［J］. Biosci Trends, 2016, 10(2):152-157.
［4］王婷，崔倩．上海市宝山区2007—2016年5岁以下儿童意外死亡情况分析［J］．中国妇幼保健，2020，35(4)：589-592．
［5］梁宇峰, 余莉, 杨镒宇, 等.儿童重症意外伤害病例临床特点和预后分析［J］.中国医药导报,2019,16(17):121-124.
［6］仝岚,张婷.江苏省昆山市少年儿童伤害现状及危险因素分析［J］.疾病预防控制通报,2019,34(2):8-11.
［7］汪媛,叶鹏鹏,段蕾蕾.2006—2014年我国门急诊儿童非故意和故意伤害病例分析［J］.中华疾病控制杂志,2016,20(7):670-674.
［8］黄荣卫,廖源,杨瑞怡,等.2014年昆明市儿童医院书林院区急诊抢救病人病种及特点分析［J］.大家健康(学术版),2015,9(21):24.
［9］周君,阿尔达可·纳汗.2012—2017年新疆某医院儿童损伤中毒及外因分析［J］.中国医院统计,2019,26(5):353-355.
［10］PAUL S, MEHRA S, PRAJAPATI P, et al. Unintentional injury and role of different predictors among 1-5 years children: A community based cross sectional study in a rural population of a developing country［J］. Int J Inj Contr Saf Promot, 2019, 26(4):336-342.
［11］黄凌飞.2007—2018年台州市椒江区5岁以下儿童死亡趋势及原因变化调查结果分析［J］.中国妇幼保健,2020,35(3):396-399.
［12］ZHOU H Z, FAN L J, WU C, et al. Understanding the associations among parents teaching safety rules to children, safety behaviors and unintentional injuries in Chinese preschool children［J］. Prev Med, 2019, 118:98-103.
［13］MA S, JIANG M M, WANG F, et al. Leftbehind children and risk of unintentional injury in rural China-A cross-sectional survey［J］. Int J Environ Res Public Health, 2019, 16(3):E403.
［14］刘玉玲，付四毛，陈昂，等．儿童看护人对儿童意外伤害知识、行为和态度的调查研究［J］．国际医药卫生导报，2019，25(8)：1206-1210．
［15］王鹤, 徐帅,金素琴,等.2015—2019年嘉兴市急诊儿童意外伤害原因及特点调查分析［J］.中国妇幼保健,2019,34(23):5508-5511.
［16］徐灵敏,黄争,乔玉兰,等.上海某综合医院343例急诊儿童意外伤害危险因素分析［J］.中国医刊,2018,53(8):904-906.
［17］朱艳辉,张成晔,廖坤,等.2012年和2016年北京儿童医院儿科急诊死亡病例临床特点分析［J］.北京医学,2017,39(7):670-673.
［18］彭利军,田艳珍,许景灿,等.医院门急诊就诊意外伤害儿童临床特征调查分析［J］.中国妇幼保健, 2011,26(35):5586-5589.
［19］刘文瑶,汪保国.广州市城中村0～6岁儿童意外伤害流行病学分布特征［J］.中国实用医药,2019,14(12):191-192.
