土耳其1098例急性中毒病例的流行病学评价。

Veterinary and human toxicology Pub Date : 2004-08-01
Meltem Akkas, Figen Coskun, Nadir Ulu, Bulent Sivri
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引用次数: 0

摘要

本研究评估1998年1月1日至2002年2月28日在急诊科(ED)收治的口腔中毒患者的特征。本研究纳入1098例患者。在此期间,每年的中毒病例占住院总患者的0.5-1.3%。患者平均年龄26岁。中毒在学生和家庭主妇中尤为常见。到急诊科就诊的中毒病例最常见于下午6点至凌晨12点之间(38%)。超过一半的研究患者(52%)在暴露后2小时内被送入急诊科。同时摄入酒精和其他麻醉剂的发生率为11%。服用的药物为各种抗抑郁药32%、扑热息痛23%、镇痛药(不包括扑热息痛和水杨酸酯)20%、抗生素10%、苯二氮卓类药物9%、水杨酸酯7%和心血管药物7%。大多数患者接受了以下治疗中的至少一种:洗胃、口服活性炭、静脉水化或利尿。32%的患者住院时间超过24小时,68%的患者在24小时内出院。整个队列的死亡率< 1%。55%的患者接受了精神科咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An epidemiological evaluation of 1098 acute poisoning cases from Turkey.

This study evaluated the characteristics of orally poisoned patients admitted to our emergency department (ED) between January 1, 1998 and February 28, 2002. This study included 1098 patients. Poisoning cases annualy accounted for 0.5-1.3% of total patient admission during this period. The average age of the patients was 26y old. Poisoning was particulary common in students and housewives. Poisoning cases presented to the ED most commonly between 6 pm and 12 am (38%). More than half of study patients (52%) were admitted to the ED within 2 h of exposure. The incidence of concomitant alcohol intake with another intoxicant was 11%. The ingested drugs were 32% various antidepressants, 23% paracetamol, 20% analgesics (excluding paracetamol and salicylates), 10% antibiotics, 9% benzodiazepines, 7% salicylates and 7% cardiovascular drugs. Most patients received at least 1 of the following treatments: gastric lavage, oral activated charcoal, iv hydration, or diuresis. Thirty-two percent of patients were hospitalized beyond 24 h and 68% of were discharged within 24 h. The mortality rate of the overall cohort was < 1%. Psychiatric consultation was obtained for 55% of patients.

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