Akbaba M, Nazlican E, Demirhindi H, Sütoluk Z, Gökel Y
Department of Public Health, Medical Faculty, Cukurova University, Adana, Turkey.
Hum Exp Toxicol. 2007 May;26(5):401-6. doi: 10.1177/0960327107076818.
The objective of this study is to define the etiological and demographical characteristics of the patients applying to the emergency department in Faculty of Medicine, Cukurova University because of poisoning. This retrospective study was carried out by examining the records of 491 people who applied to the main emergency department in Faculty of Medicine, Cukurova University, with the complaint of poisoning between January 1, 2004 and December 31, 2004. It was determined that the reason why 491 of 20 817 persons (2.4%) applied during this term was because of poisoning: 159 (32.4%) of such patients were male and 332 of them (67.6%) were female. It was found that the average age of men was 27.1 +/- 10.5 years and that of women was 24.4 +/- 9.5 years (P = 0.005); 427 of poisoning cases (87.0%) happened intentionally as suicide attempts and 64 of them (13.0%) were accidental. The rate of suicide-purposed poisoning was higher in women and the rate of unintentional poisoning was higher in men (P +/- 0.001). The drugs were accountable for 71.1% of all poisoning cases and the pesticides were accountable for 18.9% of such cases. Poisonings increase during summers. The mortality rate in poisonings was found as 0.8%. The drugs and pesticides in Ckurova region constitute 90.0% of all poisoning cases. The mortality rate in poisoning will be decreased by training the physicians employed in the emergency department about poisoning by drugs and pesticides.
本研究的目的是确定因中毒而前往库库罗瓦大学医学院急诊科就诊患者的病因及人口统计学特征。这项回顾性研究通过查阅2004年1月1日至2004年12月31日期间前往库库罗瓦大学医学院主急诊科就诊、主诉为中毒的491人的记录来进行。已确定在这一时期，20817人中有491人（2.4%）因中毒前来就诊：其中159名（32.4%）患者为男性，332名（67.6%）为女性。发现男性的平均年龄为27.1±10.5岁，女性为24.4±9.5岁（P = 0.005）；427例中毒病例（87.0%）是故意自杀未遂，64例（13.0%）为意外中毒。女性自杀目的中毒率较高，男性意外中毒率较高（P±0.001）。药物导致了所有中毒病例的71.1%，农药导致了此类病例的18.9%。中毒事件在夏季增多。中毒死亡率为0.8%。库库罗瓦地区的药物和农药占所有中毒病例的90.0%。通过对急诊科医生进行有关药物和农药中毒方面的培训，中毒死亡率将会降低。
