博山地区某综合性三甲医院急诊科1077例急性中毒患者流行病学调查分析

发布时间：2018-05-05 05:37

本文选题：急诊科 + 综合性三甲医院　；参考：《山东医药》2017年10期

【摘要】：目的分析博山地区某综合性医院急诊科收治的急性中毒患者的流行病学特点,为本地区急性中毒防治提供依据。方法采用回顾性调查方法,对淄博市第一医院急诊科2013~2014年收治的1 077例急性中毒患者的临床资料进行调查分析。结果 1 077例患者中,2013年收治533例、2014年收治544例,男女比为1.47∶1,41~50岁占23.21%、21~30岁占17.36%;发生于12月、1月、2月、11月、10月者占62.96%,全天就诊分布20:00~24:00占29.18%;患者来自城区占28.04%、郊区占42.06%、山区占19.87%;中毒途径胃肠道中毒占66.95%、吸入性中毒占30.01%、皮肤接触占2.04%,无静脉注射中毒途径;农民占58.45%,工人占18.97%,学生占13.73%;酒精中毒占40.00%,气体中毒占39.00%,镇静催眠药物中毒占16.90%;急诊病死率为1.58%,其中有机磷农药中毒占58.82%、气体中毒占23.53%、镇静催眠药物中毒占11.76%。结论急性中毒以中年男性为主,冬春季节多发,多于深夜就诊,以农民群体为主;中毒途径以胃肠道和吸入为主,酒精、气体、镇静药、农药是常见毒物,有机磷农药中毒病死率最高。
[Abstract]:Objective to analyze the epidemiological characteristics of acute poisoning patients in emergency department of a general hospital in Boshan area and to provide evidence for prevention and treatment of acute poisoning in this area. Methods the clinical data of 1 077 patients with acute poisoning admitted from 2013 to 2014 in the Emergency Department of the first Hospital of Zibo City were investigated and analyzed retrospectively. Results of the 1,077 patients, 533 were admitted in 2013 and 544 in 2014. The ratio of men to women was 1.47: 1: 41 / 50, 23.21: 2130 years old 17.36; in December, January, February, November and October, 62.96, 20: 00: 24: 00, 29.18; patients from urban areas 28.04, suburban 42.06, mountain areas 19.87; poisoning via gastrointestinal tract: 66.95; inhalation poisoning 30.01% and 2.04% in skin contact. There was no way of intravenous poisoning. Farmers accounted for 58.45m, workers 18.97m, students 13.73um, alcoholism 40.00m, gas poisoning 39.00, sedative hypnotic drug poisoning 16.900.The emergency mortality was 1.58. among them, 58.82 were organophosphorus pesticide poisoning, 23.53 were gas poisoning, 11.7667 were sedative hypnotic drug poisoning. Conclusion Acute poisoning is mainly caused by middle-aged men, more frequent in winter and spring, more frequent in winter and spring, and mainly in peasant population, and the main route of poisoning is gastrointestinal tract and inhalation. Alcohol, gas, sedatives and pesticides are common poisons. The fatality rate of organophosphorus pesticide poisoning was the highest.
【作者单位】：潍坊医学院;淄博职业学院;淄博市第一医院;
【分类号】：R595

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