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罗荣, 赵春香, 张俊丽, 郑江, 冯卫华, 邱泽武, 李明. 急诊中毒特点及中毒死亡影响因素分析[J]. 中国公共卫生, 2004, 20(9): 1122-1124.
引用本文: 罗荣, 赵春香, 张俊丽, 郑江, 冯卫华, 邱泽武, 李明. 急诊中毒特点及中毒死亡影响因素分析[J]. 中国公共卫生, 2004, 20(9): 1122-1124.
LUO Rong, ZHAO Chun-xiang, Zhang Jun-li, . Epidemiology study on characteristics of acute intoxication in emergency department and analysis on influencing factors of poisoned death[J]. Chinese Journal of Public Health, 2004, 20(9): 1122-1124.
Citation: LUO Rong, ZHAO Chun-xiang, Zhang Jun-li, . Epidemiology study on characteristics of acute intoxication in emergency department and analysis on influencing factors of poisoned death[J]. Chinese Journal of Public Health, 2004, 20(9): 1122-1124.

急诊中毒特点及中毒死亡影响因素分析

Epidemiology study on characteristics of acute intoxication in emergency department and analysis on influencing factors of poisoned death

  • 摘要:
      目的   了解急诊中毒发生特点和规律, 为制定中毒干预策略提供科学依据。
      方法   采用前瞻性资料收集的方法, 对2001年7月1日至2002年6月30日在4家综合性医院急诊首诊的中毒病例进行调查。由接诊的医生亲自对病人进行询问, 填写统一的调查表。
      结果   共调查2620份中毒病例。男女性别比为0.81:1。平均年龄3351岁。生产、运输工人, 农林牧渔劳动者, 家务劳动者居职业前三位。不同中毒种类季节分布不同。药物、农药中毒主要发生在家中, 食物中毒和其他化学品中毒主要发生在公共场所和家中。男性以意外中毒(73.01%)、女性以服毒自杀为主(56.11%)。化学品中毒为第一位中毒类型。0~9岁以农药意外中毒为主。农药中毒以有机磷杀虫剂居首位。农药中毒病死率高于其他中毒类型, 首位致死农药为敌敌畏。中毒病死率为8.78‰。中毒死亡影响因素为患者年龄、户籍、其他有机物中毒、苯及苯系物中毒、毒品中毒。
      结论   通过本研究了解急诊中毒病例的特点, 为急诊中毒救治及中毒控制提供工作重点。

     

    Abstract:
      Objective   To study the characteristics of acute intoxication in emergency department, to offer scientific basis for making the tactics for poisoning intervene.
      Methods   Collecting data of perspective method in doctors inquired the patient in person and filled in the unified questionnaire.The poisoned patients investigated were admitted in emergency treatment in 4 general hospitals on July 1 2001 to June 30, 2002.
      Results   2 620 poisoned cases were investigated altogether in the research.The sex ratio was 0.01:1.The average ages of poisoned cases were 33.51 years old.Workers, peasants and housework labors occupied the top three jobs.Different poisoning types showed different season distribution.Pesticide and drug poisoning took place in home mainly.Food poisoning and other chimcals poisoning happened mainly in the public place and home.Man relied mainly on the accident(73.01%), women relied mainly on committing suicide(56.11%).The other chemicals poisoning was the primary poisoning type.The pesticide poisoning accidental ranked first at 0-9 years old cases.The pesticide poisoning reduced mainly by organophosphate insecticide.Pesticide poisoning was primary type to cause death.The fatality rate of poisoned cases was 8.78‰.The main influence factors of poisoned to death were patient' sage, household register, other organic compound poisoning, benzene and benzene homologue poisoning, illicit drug poisoning.
      Conclusion   Through this research the characteristics of acute intoxication was obtained, which offered point to treatment in emergency department and poisoning controlling.

     

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