Li Zhong-jie, Chen Shu-yang, Zhou Jing, Wu Yi-qun
Center for Public Health Surveillance and Information Service, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2004 Apr;25(4):285-7.
This study aimed to develop an estimate of the actuality and characteristics of poisoning suicide attempted patients in emergency department (ED) in China.
We selected 25 hospital EDs in whole country as the investigation spots, and designed one special questionnaire to collect information from the poisoning suicide attempted patients from 1st July, 2001 to 30th June, 2002.
Results were based on 4060 cases hospitalized during the investigating period. In general frequency analysis, the ratio of male to female was 1:2.95. In all patients, 98.40% cases took poisons orally, and 93.57% cases occurred at home. The average age was 31.5 years old (min 8, max 93). The leading occupations of cases were farmers, unemployed house-wives, jobless, service people and students. The main types of poisons were druggery (54.29%) and pesticide (35.84%). 2044 cases (59.23%) were cured timely (in 1 hour). When comparing cases from rural hospitals (RHs) and urban hospitals (UHs): ratio of poisoning attempted suicides in RHs to all poisoning cases was higher than UHs with significant gender difference (P < 0.05). UHs number one cause of poisoning was druggery, but in RHs it was pesticide.
Poisoning attempted suicide was very serious in China. Farmers and women were among the high-risk groups. Druggery and pesticide were the primary poisons, suggesting that management enforcement was in urgent need.
本研究旨在对中国急诊科中毒自杀未遂患者的现状及特征进行评估。
我们选取全国25家医院急诊科作为调查点,设计了一份专门问卷,收集2001年7月1日至2002年6月30日期间中毒自杀未遂患者的信息。
结果基于调查期间住院的4060例病例。在一般频率分析中,男女比例为1:2.95。所有患者中,98.40%的病例口服毒物,93.57%的病例发生在家中。平均年龄为31.5岁(最小8岁,最大93岁)。病例的主要职业是农民、家庭主妇、无业者、服务业人员和学生。主要毒物类型为药物(54.29%)和农药(35.84%)。2044例(59.23%)得到及时治愈(在1小时内)。比较农村医院(RHs)和城市医院(UHs)的病例:RHs中毒自杀未遂病例与所有中毒病例的比例高于UHs,且存在显著性别差异(P<0.05)。UHs中毒的首要原因是药物,但在RHs中是农药。
在中国,中毒自杀未遂情况非常严重。农民和女性属于高危群体。药物和农药是主要毒物,表明急需加强管理。