[Severe respiratory complications in acute voluntary drug poisoning. Apropos of 15 cases in 824 poisoning cases].

J P Ory, P Daoudal, G Wagschal, J L Delacour, M Vuillemard, F Barale
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Abstract

Respiratory diseases are the most heavy complications that we can meat in self-poisoning persons. Authors report 15 cases of respiratory complications appeared in 824 self-poisoning cases by drugs. Different factors involved in respiratory diseases origin are analysed but only one appears to be significant: the time between poisoning and admission in intensive care unit. The encountered complications are: acute respiratory distress syndrome, Mendelson syndrome, heavy pulmonary infections, pulmonary embolism. Authors argue about the means of prevention. This seems the fundamental aspect, alone capable to decrease the incidence of very heavy complications responsible of a height mortality range (33%).

急性自发性药物中毒的严重呼吸并发症。824例中毒病例中约有15例]。
呼吸系统疾病是自毒患者最严重的并发症。报告824例药物自中毒中出现呼吸道并发症15例。分析了与呼吸道疾病起源有关的不同因素,但只有一个因素似乎是重要的:中毒和入住重症监护病房之间的时间。遇到的并发症有:急性呼吸窘迫综合征,门德尔松综合征,重度肺部感染,肺栓塞。作者争论预防的方法。这似乎是最基本的方面,单独能够降低造成高死亡率(33%)的严重并发症的发生率。
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