摘要
目的通过了解本院儿童重症监护室意外伤害病例的临床特点及预后情况,为本地区加强对儿童意外伤害的认识、治疗和预防性干预措施提供参考,以减少本地区儿童意外伤害的发生。方法查询2020年1月—2021年12月共两年本院PICU收治的儿童意外伤害病例,对患儿的一般资料、意外伤害发生原因、是否高级生命支持及预后转归等进行回顾性分析。结果两年期间本院PICU共收治儿童意外伤害病例58例;年龄1-15岁,其中1-2岁15例,2-3岁12例,3-4岁6例,4-5岁4例,5-6岁2例,6-10岁5例,11-15岁14例;1-4岁、11-15岁患儿分别占比63.8%(37/58)、24.1%(14/58)。药物中毒24例,农药中毒22例,溺水、误服减肥药各3例,误用强酸/碱、坠落伤各2例,烫伤、一氧化碳中毒各1例。1-4岁患儿均因看护不当或自身识别性差出现意外伤害,为非自主伤害;11-15岁患儿自主服用药物或农药占57.1%(8/14),以自主伤害为主。需要气管插管机械通气支持9例,进行血液净化16例。58例患儿中死亡1例,其余好转后转入普通病区。结论本院儿童意外伤害病例呈现1-4岁、11-15岁两个高峰年龄期;以药物及农药中毒为主;高级生命支持对意外伤害恢复有益;儿童意外伤害愈后较好,应积极抢救;应加强幼儿、学龄前儿童毒物安全教育及对青春期儿童心理疏导。
Objective By exploring the clinical characteristics and prognosis of children who suffered from accidental injury hospitalized in the pediatric intensive care unit of our hospital,we expect to provide a reference for strengthening the cognition,treatments,and preventive intervention measures,finally achieve the reduction of accidental injury in children of this region.Methods Retrieve the accidental injury cases of children who were admitted to the pediatric intensive care unit in our hospital from January 2020 January to December 2021 December,and retrospectively analyze the general data,the cause of accidental injury,the application of advanced life support,and the prognosis.Results A total of 58 cases of children suffered from accidental injury were admitted to the pediatric intensive care unit of our hospital from January 2020 to December 2021.The age of the children ranged from 1 year old to 15 years old.Among all the cases,there were 15 children aged from 1 to 2 years old,12 children aged from 2 to 3 years old,6 children aged from 3 to 4 years old,4 children aged from 4 to 5 years old,2 children aged from 5 to 6 years old,5 children aged from 6 to10 years old,and 14 children aged from 11 to 15 years old.Children aged from 1 to 4 years old accounted for 63.8%(37/58),and children aged from 11 to 15 years old accounted for 24.1%(14/58).There were 24 cases who visit the hospital due to drug poisoning,22 cases hospitalized due to pesticide poisoning,3 cases were injured due to drowning,3 cases taking slimming drugs by mistake,2 cases misusing strong acid/alkali substances,2 cases were falling injury,1 case was scald,and 1 case was carbon monoxide poisoning.Improper nursing or poor self-recognition led to the accidental injury of children aged 1 to 4 years old,involuntary injury.However,autonomous use of drugs or pesticides accounted for 57.1%(8/14)of children aged from 11 to 15 years old,and autonomous injury was the main cause of adolescence.Nine cases received endotracheal intubation mechanical ventilation sup
作者
姚春梅
付存玉
王富明
李玉萍
Yao Chunmei;Fu Cunyu;Wang Fuming;Li Yuping(Pediatric department,Kaifeng children'shospital,Kaifeng,Henan,475000,China)
出处
《齐齐哈尔医学院学报》
2022年第19期1858-1861,共4页
Journal of Qiqihar Medical University
基金
开封市科技发展计划项目(2003111)。
关键词
意外伤害
儿童
重症监护室
中毒
青春期
Accidental injury
Children
Pediatric intensive care unit
Poisoning
Adolescence
