《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (04): 384-386.

• 临床研究 • 上一篇    下一篇

被遗弃儿入福利院前医学观察306例分析

缪琼1;高传化2;余红辉2   

  1. 1.复旦大学附属儿科医院免疫科,上海市 200032;2. 上海市瑞金医院集团闵行医院儿科,上海市 201100
  • 收稿日期:2008-12-15 修回日期:2009-02-05 出版日期:2009-04-01 发布日期:2009-04-01

Primary Medical Care of 306 Abandoned Children before Admission to the Welfare Organization

MIAO Qiong, GAO Chuan-hua, YU Hong-hui   

  1. The Department of Immunology, Pediatric Hospital Affiliated to Fudan University, Shanghai 200032, China
  • Received:2008-12-15 Revised:2009-02-05 Published:2009-04-01 Online:2009-04-01

摘要: 目的 探讨被遗弃残疾儿特点及如何做好入福利院之前的医学观察、治疗和抢救工作。方法 对2005~2008年闵行医院儿科收治的306例被遗弃残疾儿进行医学观察,回顾性分析其构成、生长发育及营养情况、危重症抢救成功率等。结果 306例被遗弃残疾儿(男∶女=1.6∶1)中,智力残疾49例(16.01%)、肢体残疾17例(5.56%)、视力残疾6例(1.96%)、听力语言残疾7例(2.29%)、综合残疾158例(51.63%),未发现精神残疾,另有患严重尚且无法或未进行根治的先天性疾患69例(22.55%);期间抢救23例、死亡10例;完成院前观察后转市儿童福利院296例。结论 被遗弃残疾儿生活环境恶劣,对社会适应性差,大部分生长发育迟缓,营养状况差,免疫力低下,易患急性病,并且死亡率高。

关键词: 残疾儿, 遗弃, 医学观察

Abstract: Objective To investigate the special features of disabled children and their medical care before admission to social welfare institution.Methods A retrospective analysis of 306 cases was performed for the types of disabilities, growth and development, nutritional state, success rate in treatment of severe cases, and etc.Results In all of 306 cases (the ratio of male∶female equal 1.6∶1), 49 cases (16.01%) had intelligence disability, 17 cases (5.56%) had extremity disability, 6 cases (1.96%) had vision disability, 7 cases (2.29%) had hearing or speech disability, 158 cases (51.63%) had multiple disability, but no cases had psychiatric disability. Besides, 69 cases (22.55%) had severe but incurable or untreated congenital disease. 23 severe cases were successfully treated and there were 10 deaths. 296 cases were transferred to the state welfare institution after medical observation or treatment.Conclusion Living environment for disabled children is extremely bad, social adaptability is poor, most of them have growth retardation, malnutrition, poor immunity, susceptible to acute diseases and the mortality rate of these children is higher.

Key words: disabled children, abandon, medical care