摘要
目的:了解大型综合性医院急救中心重症中毒病例的发病原因、特征、抢救治疗效果,以总结经验和教训,探讨中毒防治的策略。方法:对南京某三级综合性医院急症医学中心1988年1月～2004年6月收治的全部重症中毒病例进行回顾性分析。结果:该中心16年间共收治重症中毒患者502例,涉及毒物6类,43种,主要是农药中毒和一氧化碳中毒,分别占40.44%,18.92%。1988年发病最多,占16.73%;2003年中毒患者最少,占1.39%。农药中毒以有机磷为主,春夏秋季高发;一氧化碳中毒为冬季高发。患者男女比例1∶1.15;21～40岁是中毒的高发人群,占55.98%。职业分布以工人为主,占42.22%;其次是农民,占32.06%。72.71%的患者治愈,7.37%死亡。结论:南京地区中毒的发生具有明显的季节、中毒源、年龄及性别特征,病死率高,须引起重视,并要加强宣传教育,采取有效防范措施,以减少中毒的发生。
Objective: To find out the characteristics of poisoning in certain areas of Nanjing and do well the work of salvage, prevention and education of poisoning. Methods: All the poisoning cases which were treated in the People's Hospital of Jiangsu Province were systematically , retrospectively analyzed in epidemiological method from January 1988 to June 2004. Results: Among the total of 502 poisoning cases , 43 kinds of poison were involved . Mainly types were the poisoning of pesticides (40.44%) and carbon monoxide (18.92%). Most of the pesticides were the organophosphorous pesticides (82.76%) . The poisoning cases were the most in 1988 (16.73%), while in 2003 were the least (1.39%) . Every year the poisoning of organophosphorous pesticides mainly happened in the seasons of spring, summer and autumn , but the poisoning of carbon monoxide mostly occurred in winter . Among the 502 cases, 233 were males, 269 were females, the ratio between males and females was 1:1.15. The rate of the poisoning cases aged from 21 to 40 was high (55.98%). The occupations of them, workers were easiest being poisoned (42.22%), and the next were farmers (32.06%). 72.71% of all the cases recovered, while 7.37% died. Conclusion: Through such epidemical analysis of poisoning cases, many measures should be taken s to reduce the occurrence of the poisoning.
出处
《江苏预防医学》
CAS
2005年第2期12-14,共3页
Jiangsu Journal of Preventive Medicine
