Huang Hao, Li Ben, Chen Yu, Yuan Yi, Xiong Peng, Zhang Wen-Di, Fu Li-Na, Liu Tong-Lin
Department of Pediatric Intensive Care Unit, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2019 Apr;21(4):323-326. doi: 10.7499/j.issn.1008-8830.2019.04.004.
To investigate the etiology and risk factors for unintentional injuries in children admitted to the pediatric intensive care unit (PICU), and to provide a basis for preventing these injuries and decreasing the mortality rate.
A retrospective analysis was performed on the clinical data of children with unintentional injuries admitted to the PICU from December 2012 to December 2017.
A total of 102 children with unintentional injuries were admitted to the PICU, which accounted for 3.30% (102/3 087) of the overall PICU patients. The top three causes of unintentional injuries were food or drug poisoning, drowning, and foreign body ingestion and aspiration. The proportion of unintentional injuries in boys was significantly higher than in girls (P<0.05). The younger children had a significantly higher proportion of unintentional injuries (P<0.05). The cause of unintentional injuries was also related to age, and the common causes of unintentional injuries varied between different age groups. The proportion of unintentional injuries was not significantly different between children from urban and rural areas (P>0.05). The logistic regression analysis showed that the number of organs with dysfunction after unintentional injuries, especially respiratory, cardiac, neurological, renal and hematological involvement, was closely associated with the mortality rate of children with unintentional injuries (P<0.05); however, it is not an independent risk factor (P>0.05).
Prevention is the key to decreasing the incidence of childhood unintentional injuries. Preventive measures should be taken based on patient's sex and age and the cause of unintentional injuries. The spread of first aid knowledge, improvement in emergency transportation, and more attention to organ protection may be useful for decreasing the mortality rate of children with unintentional injuries.
探讨儿科重症监护病房（PICU）收治儿童意外伤害的病因及危险因素，为预防此类伤害及降低死亡率提供依据。
对2012年12月至2017年12月入住PICU的意外伤害儿童临床资料进行回顾性分析。
共有102例意外伤害儿童入住PICU，占PICU总患者数的3.30%（102/3087）。意外伤害的前三位原因是食物或药物中毒、溺水以及异物吞食和吸入。男孩意外伤害的比例显著高于女孩（P<0.05）。年龄较小的儿童意外伤害比例显著更高（P<0.05）。意外伤害的原因也与年龄有关，不同年龄组意外伤害的常见原因有所不同。城乡儿童意外伤害比例差异无统计学意义（P>0.05）。Logistic回归分析显示，意外伤害后出现功能障碍的器官数量，尤其是呼吸、心脏、神经、肾脏和血液系统受累情况，与意外伤害儿童的死亡率密切相关（P<0.05）；然而，它并非独立危险因素（P>0.05）。
预防是降低儿童意外伤害发生率的关键。应根据患儿的性别、年龄及意外伤害原因采取预防措施。普及急救知识、改善紧急转运以及更加重视器官保护可能有助于降低意外伤害儿童的死亡率。
