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加德满都医学院教学医院急诊科中毒病例研究。

A study of poisoning cases in emergency Kathmandu Medical College Teaching Hospital.

作者信息

Khadka S B, Khadka S B

机构信息

Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.

出版信息

Kathmandu Univ Med J (KUMJ). 2005 Oct-Dec;3(4):388-91.

Abstract

OBJECTIVE

To determine the pattern and severity of poisoning cases in emergency Kathmandu Medical College Teaching Hospital.

DESIGN

Retrospective observational study.

MATERIALS AND METHODS

All the poisoning cases due to various agents who attended Emergency from 1st of April 2002 to 30th of March 2003 were evaluated retrospectively.

RESULTS

A total of 67 poisoning cases attended emergency Kathmandu Medical College Teaching Hospital over a period of one year. The overall female to male ratio was 1.09:1. Most poisoning occurred in the age group 21-30 for adults (38.8%) and 2-5 yrs for the children. Organophosphorous was the most common poisoning for the adults where as kerosene was common in children. Oral route was the most common route of administration which accounted 86.57%. Students (35.8%) and housewife (23.3%) were commonly involved in self poisoning. Intentional poisoning comprised 58.2% of all poisonings.

CONCLUSION

Majority of the intentional poisoning occurred in the female housewife & students of younger age group but accidental poisoning was found common in children under five years mostly with kerosene ingestion.

摘要

目的

确定加德满都医学院教学医院急诊科中毒病例的模式和严重程度。

设计

回顾性观察研究。

材料与方法

对2002年4月1日至2003年3月30日期间因各种毒物就诊于急诊科的所有中毒病例进行回顾性评估。

结果

在一年的时间里,共有67例中毒病例就诊于加德满都医学院教学医院急诊科。总体男女比例为1.09:1。大多数中毒发生在成年人的21 - 30岁年龄组(38.8%)和儿童的2 - 5岁年龄组。有机磷是成年人中最常见的中毒类型,而煤油在儿童中较为常见。口服是最常见的给药途径,占86.57%。学生(35.8%)和家庭主妇(23.3%)常涉及自我中毒。故意中毒占所有中毒病例的58.2%。

结论

大多数故意中毒发生在年轻年龄组的女性家庭主妇和学生中,但意外中毒在5岁以下儿童中常见,主要是误食煤油。

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