摘要
目的了解海口市0—14岁儿童意外伤害的流行学现状及特点。方法以1997。1999年间居住海口市1年以上的0—14岁儿童为调查对象，以国际疾病分类ICD-10进行意外伤害的分类及诊断。结果受调查的海南省海口市1997—1999年2万名0—14岁儿童中，严重意外伤害发生率为210／10万，死亡率为20／10万，残疾发生率为30／10万。意外死亡占总死亡的百分比为40％，居死亡顺住的第一位，意外死亡的原因为外伤（车祸、跌落）、溺水、中毒。严重意外伤害的原因依次为外伤（跌落、切割伤、交通事故）、溺水、烧伤和腐蚀伤、中毒、异物、电击伤、中署。意外死亡及严重意外伤害均男童多见，7—14岁学龄儿童占大多数。意外伤害发生的地点以家中及学校多见。意外伤害危险因素依次为男童、7—14岁学龄儿童、环境因素（缺乏交通管理和安全意识、建筑工地缺乏安全措施）、社会经济地位（家庭收入及父母文化程度）、儿童气质。结论意外伤害是海口市1997。1999年间0．14岁受调查儿童死亡及致残的重要原因，我们应积极预防和控制儿童意外伤害的发生。
Objective To conduct epidemiological survey of unexpected injuries and deaths in children in Haikou City, Hainan Province and identify the risk factors for making preventing measures. Methods A prospective survey was conducted on severe unexpected injuries in 20 000 children aged 0 -14 years from Jan. 1, 1997 to Dec.31,1999 in Haikou City .The unexpected injuries and deaths were identified by using the ICD - 10 coding classification system. Results The annual rate of severe unexpected injury was 210/100 000 children aged 0 - 14 years old and the morality rate was 20/100 000. Disability rate was 30/100 000. The unex- pected death was the leading cause of death in the children （accounted for 40% of the total mortality） in this city. The major causes of deaths was traffic accidents, falling, drowning, poisoning. The major causes of severe unexpected injuries in children were in the order of falling, cutting injury, traffic accidents, drowning, burned/corroded, poisoning, The risks factors associated with severe unexpected injuries in children were sex （males）, age （between the age of 7 to 14 years）, environment （without awareness of traffic safety and precautionary measures. Conclusion Unexpected injury is a major health problem in children in Haikou City. Thus effective measures be taken for preventing unexpected injuries from occurrence to children.
出处
《中国热带医学》
CAS
2006年第11期1937-1939,共3页
China Tropical Medicine
基金
海南省卫生厅科研基金资助琼卫2000-8
