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910例急性中毒患者分析调查

Investigation and analysis on 910 cases of acute poisoning
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摘要 目的了解祁东地区急性中毒的流行病学特点。方法收集2017年全年祁东县人民医院急诊科收治的所有急性中毒病例910例,采用回顾性流行病学方法,对患者年龄、性别、中毒原因、中毒途径、中毒物质、治疗方法、中毒转归等进行分析。结果910例急性中毒患者中,男性占64.84%,中毒患者年龄分组中以21 ~30岁组所占比例最高(35.05%),中毒毒物分类从高到低依次是是酒精中毒、蛇咬伤中毒、农药中毒、药物中毒、一氧化碳中毒、鼠药中毒、毒蕈中毒、毒品中毒、蜂毒中毒;最常见的中毒途径是经口中毒;有自杀倾向者,女性占74.49%;8~9月是中毒高发期;中毒患者死亡率为1.09%。新型毒品所占比例远超阿片类毒品。结论酒精、蛇毒、农药是最常见的中毒物质,新型毒品中毒有增高趋势,有自杀倾向患者中女性占绝大多数,当地各部门应加强对民众中毒防范的宣传教育,降低中毒事件的发生率。 Objective To understand the epidemiological characteristics of acute poisoning in Qidong area. Methods 910 cases of acute poisoning admitted to the emergency department of Qidong County People's Hospital in 2017 were collected. Retrospective epidemiological methods were used to analyze the age, sex, poisoning causes, poisoning routes, toxic substances, treatment methods, and poisoning outcomes of the patients. Results In the age group of poisoning patients, the proportion of 21 -30 years old group was the highest (35. 05%). The classification of poisoning poisons from high to low was alcoholism, snake bite poisoning, pesticide poisoning, drug poisoning, carbon monoxide poisoning, rodenticide poisoning, poisonous poisoning, drug poisoning, bee poisoning. The most common way of poisoning was oral poisoning, and 74. 49% of them were women with suicidal tendency. August-September was a high incidence of poisoning;The mortality rate of poisoned patients was 1.09%. The proportion of new drugs far exceeded that of opioids. Conclusions Alcohol, snake venom and pesticide were the most common poisoning substances. New drug poisoning had an increasing trend. Women accounted for the vast majority of patients with suicidal tendency. Local departments should strengthen publicity and education on prevention of poisoning among the public to reduce the incidence of poisoning incidents.
作者 王毅夫 雷翔云 徐海林 刘勤 屈波 张超杰 Wang Yifu;Lei XiangyurT;Xu Hailin;Liu Qin;Qu Bo;Zhang Chacqie(Department of Breast and Thyroid Surgery, Hunan Provincial People's Hospital (the First Affiliated Hospital of Hunan Normal University), Changsha, China;Emergency department of Qidong County Peoples Hospital,Qidong,China;Departmeni of Kidney Internal Medicine of Qidong County People's Hospital,Qidong,China;Department of Hemodialysis of Qidong County People's Hospital,Qidong,China;Defxirtment of Intensive Care Unit of Qidong County Peoples Hospital,Qidong,China)
出处 《实用休克杂志(中英文)》 2019年第2期102-104,108共4页 Journal of Practical Shock
关键词 急性中毒 流行病学 Acute poisoning Epidemiology
作者简介 通信作者:张超杰,E-mail: zhangchaojie@hunnu. edu. com.
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