Harries A D, Speare R, Wirima J J
Department of Medicine, Kamuzu Central Hospital, Lilongwe, Malawi.
Trop Geogr Med. 1990 Jul;42(3):274-9.
A retrospective survey was carried out on adult medical admissions to Kamuzu Central Hospital, Lilongwe, Malawi during the period January to December 1986, and results compared with those obtained in Queen Elizabeth Central Hospital, Blantyre in 1973. There were 4700 admissions which was more than twice the number seen in Blantyre. However, the age distribution, the pattern of disease and the overall hospital mortality were similar. Infections (malaria, pneumonia, tuberculosis, gastroenteritis/dysentery and meningitis) were the most common cause of admission, and the major causes of death were still tuberculosis, pneumonia and meningitis. Smoking related diseases were uncommon, and there was no documented case of ischaemic heart disease. The reasons for the importance of periodic surveys, such as the present study, are discussed.
1986年1月至12月期间，对马拉维利隆圭市卡姆祖中央医院收治的成年内科患者进行了一项回顾性调查，并将结果与1973年在布兰太尔市伊丽莎白女王中央医院所获结果进行了比较。共有4700例入院患者，这一数字是布兰太尔市所见患者数量的两倍多。然而，年龄分布、疾病模式和总体医院死亡率相似。感染（疟疾、肺炎、结核病、肠胃炎/痢疾和脑膜炎）是最常见的入院原因，主要死因仍然是结核病、肺炎和脑膜炎。与吸烟相关的疾病并不常见，且没有缺血性心脏病的记录病例。文中讨论了开展此类定期调查（如本研究）的重要性的原因。
