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目的调查深圳市工业区的急性中毒情况。方法收集深圳市某工业区所有3家医院于2013年接诊的急性中毒病例资料,分析急性中毒的人群特征、中毒起因、毒物类型、救治措施。结果共调查176例急性中毒病例,13~49岁年龄组占76.71%,男性患者占46.59%。前三位中毒起因依次是意外(占34.66%)、怀疑自杀/自我伤害(占32.39%)和滥用(占13.64%),职业中毒例数仅占2.84%。导致中毒的明确毒物共计17种,引起中毒的前三种毒物依次是农药(占23.86%)、一氧化碳(占17.61%)、酒精(占10.23%)。40.90%和13.07%的患者分别接受了胃肠道排毒和解毒剂治疗。结论 13~49岁是急性中毒防控的重点人群,应通过采取措施缓解社会压力,规范管理农药和化学品的销售和使用,加强对燃气设备使用的管理,加强对家用药品和农药收纳的宣教,以降低急性中毒发生。
Objective To investigate the acute poisoning in Shenzhen Industrial Zone. Methods Acute poisoning cases were collected from all three hospitals in an industrial zone in Shenzhen City in 2013. The characteristics of the population, the cause of poisoning, the type of poison and the treatment measures were analyzed. Results A total of 176 acute poisoning cases were investigated, accounting for 76.71% of the patients in the age group of 13-49 years and 46.59% of the male patients. The first three causes of accidents were accidents (34.66%), suspected suicide / self-injury (32.39%) and abuse (13.64%), occupational poisoning accounted for only 2.84%. A total of 17 specific toxicants were identified. The first three poisons were pesticides (23.86%), carbon monoxide (17.61%) and alcohol (10.23%). 40.90% and 13.07% of patients received gastrointestinal detoxification and antidote treatment respectively. Conclusions 13 to 49 years old are the key population for prevention and control of acute poisoning. Measures should be taken to relieve social pressure, regulate the sales and use of pesticides and chemicals, strengthen the management of gas equipment use, and strengthen the education of household medicines and pesticide storage , To reduce the incidence of acute poisoning.