Adejuyigbe E A, Onayade A A, Senbanjo I O, Oseni S E
Department of Paediatrics and Child Health, Obafemi Awolowo University Teaching Hospital, Ile-Ife.
Niger J Med. 2002 Oct-Dec;11(4):183-6.
A retrospective study of children admitted into the Children Emergency Room of the Obafemi Awolowo University Teaching Hospital, Ile-Ife, between 1989 and 1998 was undertaken. There were 127 cases constituting 0.52% of the total paediatric admissions over the study period. Poisoning was commoner among the lower socioeconomic classes and in males than females. 102 (80.3%) of the children involved were below the age of five years and poisoning was unintentional in 98.4%. Kerosene was the commonest agent accounting for 40.9% of all cases; followed by caustic soda (20.4%) and traditional mixtures (19.7%). Oral administration of palm oil is the commonest home remedy. Morbidity was commonest with caustic soda while traditional mixture was responsible for 80% of the mortality. Fifteen (11.9%) patients died constituting 0.84% of total childhood mortality during the study period. We conclude that childhood poisoning is still a significant cause of morbidity and mortality in children seen at the Obafemi Awolowo University Teaching Hospital. Improvement in the socioeconomic status of parents and health education on proper storage of household chemicals will help in reducing the incidence and mortality from poisoning.
对1989年至1998年间入住伊费奥巴费米·阿沃洛沃大学教学医院儿童急诊室的儿童进行了一项回顾性研究。共有127例病例，占研究期间儿科住院总数的0.52%。中毒在社会经济地位较低的阶层以及男性中比女性更为常见。102名（80.3%）涉案儿童年龄在5岁以下，98.4%的中毒是意外发生的。煤油是最常见的中毒剂，占所有病例的40.9%；其次是苛性钠（20.4%）和传统混合物（19.7%）。口服棕榈油是最常见的家庭疗法。苛性钠导致的发病率最高，而传统混合物导致了80%的死亡。15名（11.9%）患者死亡，占研究期间儿童总死亡率的0.84%。我们得出结论，儿童中毒仍然是奥巴费米·阿沃洛沃大学教学医院所见儿童发病和死亡的一个重要原因。提高父母的社会经济地位以及对家用化学品妥善储存进行健康教育将有助于降低中毒的发生率和死亡率。
