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目的对重症监护病房(ICU)急性中毒病例的临床特点进行分析,以寻求控制对策,提高生存率。方法收集同济医院ICU病房2007年6月—2008年6月收治的93例中毒病例,采用描述性统计方法进行分析。结果农药中毒高居首位,占51.61%;中毒方式以自杀中毒为主(77.42%);中毒年龄高峰在30～49岁,多脏器功能衰竭综合征(MODS)发生率较高,达39.78%。结论急性中毒需及时治疗,并采取综合措施,同时,应重视多专业、多部门共同的防治作用。
Objective To analyze the clinical features of acute poisoning cases in intensive care unit (ICU) in order to seek control strategies and improve the survival rate. Methods Totally 93 cases of poisoning were collected from ICU ward of Tongji Hospital from June 2007 to June 2008 and analyzed by descriptive statistics. Results Pesticide poisoning was the highest, accounting for 51.61%. The poisoning mode was mainly suicide poisoning (77.42%). The peak age of poisoning was 30-49 years old. The incidence of multiple organ failure syndrome (MODS) was high (39.78%). Conclusion Acute poisoning should be treated promptly and comprehensive measures should be taken. At the same time, multi-disciplinary and multi-departmental prevention and control should be emphasized.