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目的分析肿瘤急诊患者的死亡原因。方法搜集2006至2008年我院肿瘤急诊3128人次,总结分析其中104例肿瘤急诊的死因。结果本组肿瘤急诊死亡人数占急诊人次的3.3%(104/3128)。由肿瘤本身直接引起死亡者占死亡总数的20.4%(21/104),肿瘤并发症引起死亡者占76.7%(79/104)。死亡前三位的原发病分别为肺癌、肝癌、胃癌。常见死因是呼吸衰竭、感染、出血、多器官功能障碍综合征(MODS)等,前二者分别占死亡总数的33.3%和21.0%。结论肿瘤患者有一半以上死于并发症,应积极预防和治疗。
Objective To analyze the causes of death in patients with cancer emergency. Methods A total of 3128 emergency radiological examinations in our hospital from 2006 to 2008 were collected, and the cause of death was analyzed and summarized in 104 of them. Results The number of emergency deaths from cancer patients in this study was 3.3% (104/3128). The direct cause of death by the tumor itself accounted for 20.4% (21/104) of the total deaths, tumor complications caused 76.7% (79/104) of deaths. The first three deaths were lung cancer, liver cancer and gastric cancer respectively. Common causes of death are respiratory failure, infection, bleeding, multiple organ dysfunction syndrome (MODS), the former two accounted for 33.3% and 21.0% of the total deaths respectively. Conclusion More than half of cancer patients died of complications and should be actively prevented and treated.