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台湾儿童中毒事件

Children poisoning in Taiwan.

作者信息

Yang C C, Wu J F, Ong H C, Kuo Y P, Deng J F, Ger J

机构信息

Department of Medicine, Veterans General Hospital-Taipei, Taiwan, R.O.C.

出版信息

Indian J Pediatr. 1997 Jul-Aug;64(4):469-83. doi: 10.1007/BF02737751.

Abstract

Poisoning is a well known cause of morbidity and mortality in children. In Taiwan, little information has been published regarding the status of pediatric poisoning exposures. To provide more information on pediatric poisoning exposures for the purpose of poison prevention, a retrospective study was designed and conducted to analyse the data of National Poison Centre (NPC), Taiwan. All telephone inquiries concerning poisoning exposures in those under 19 years of age, received by NPC-Taiwan from July 1985 through December 1993, were included in this study. The age, sex, reason for exposure, route of exposure, substances involved and clinical outcome of those telephone calls were then analyzed. A total of 5,812 inquiries concerning poisoning exposures in children were recorded. Male exposures were more prevalent than females (59%) Vs. 41%) Accidental exposures accounted for 77.7% of the cases and most were exposed by the oral route. Substances most frequently ingested were household products, benzodiazepines and pesticides. The data revealed a mortality rate of 1.4%. Accidental poisoning exposures from household products and drugs remain a significant problem for those younger than 6 years of age. Further education of parents and care takers and the employment of child-resistant containers are needed to prevent cases of pediatric poisoning. Reduction of amphetamine abuse in adolescents is also of major concern and deserves more attention.

摘要

中毒是儿童发病和死亡的一个众所周知的原因。在台湾,关于儿童中毒暴露情况的信息鲜有发表。为了提供更多有关儿童中毒暴露情况的信息以预防中毒,我们设计并开展了一项回顾性研究,对台湾国家中毒中心(NPC)的数据进行分析。本研究纳入了台湾国家中毒中心在1985年7月至1993年12月期间接到的所有关于19岁以下人群中毒暴露的电话咨询。然后对这些电话咨询的年龄、性别、暴露原因、暴露途径、涉及的物质以及临床结果进行分析。共记录了5812例关于儿童中毒暴露的咨询。男性暴露比女性更普遍(59%对41%)。意外暴露占病例的77.7%,且大多数是经口暴露。最常摄入的物质是家用产品、苯二氮䓬类药物和农药。数据显示死亡率为1.4%。家用产品和药物导致的意外中毒暴露对于6岁以下儿童仍然是一个重大问题。需要对家长和照顾者进行进一步教育,并使用防儿童开启的容器来预防儿童中毒病例。减少青少年苯丙胺滥用也是主要关注点,值得更多关注。

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