摘要
目的探讨儿童急性摄人中毒的相关因素,以寻求相应的防治措施。方法回顾性分析2011年1月-2016年12月大连市儿童医院儿童重症监护病房(PICU)收治的急性摄人中毒患儿资料206例,分为药物中毒和非药物中毒两组,比较其不同特点。结果急性摄入中毒以幼儿期最多,95.6%发生于家中,92.2%为意外误服,有意服用中毒以学龄期及青春期为主。药物中毒中以神经精神用药为首,非药物中毒以杀虫(鼠)剂为首。非药物中毒组消化系统、血液系统损害、及白细胞、肝功、出凝血的改变高于药物中毒组,治愈率两者差异无统计学意义(P〉0.05)。结论儿童急性摄人中毒特点多样,应以预防为主,非药物中毒对儿童损伤更大,应在预防及救治过程中给予更多关注。
Objective To investigate the related factors of acute intake poisoning in children for exploring corresponding prevention and treatment measures. Methods A total of 206 cases of acute intake poisoning admitted to pediatric intensive care unit (PICU) from January, 2011 to December, 2016 in Dalian Children's Hospital were retrospectively analyzed. All children were divided into drug poisoning group and non-drug poisoning group, and clinical characteristics were compared. Results Acute intake poisoning is the most common in early childhood, 95.6% occurred at home and 92.2% was accidental poisoning. Intentional poisoning is dominated by school age and adolescent children. In drug poisoning, neuropsychiatric drugs are the first and non-drug poisoning is led by insecticidal (mouse) agents. The changes of digestive system, blood system damage, leukocyte, liver function, and coagulation in non-drug poisoning group were significantly higher than those in drug poisoning group (P〈0.05), and the cure rate was not significantly different between two groups (/〉0.05). Conclusion The characteristics of acute intake poisoning in children are diverse and should be mainly preventive. Non-drug poisoning is more harmful to children and should be paid more attention to the course of prevention and treatment.
作者
张男
ZHANG Nan(Dalian Children's Hospital,Dalian 116012,Liaoning Province,China)
出处
《中国实用乡村医生杂志》
2018年第8期58-60,共3页
Chinese Practical Journal of Rural Doctor
关键词
摄入中毒
急性
药物
非药物
儿童
Intake Poisoning
Acute
Drug
Non-drug
Children