Department of Pediatrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.
Hum Exp Toxicol. 2010 Feb;29(2):131-6. doi: 10.1177/0960327109357141. Epub 2009 Dec 17.
In the present study, 386 patients with the diagnosis of poisoning admitted to the Pediatric Emergency Unit of Farabi Hospital of Medical Faculty of Karadeniz Technical University between January 2002 and December 2006 were retrospectively evaluated with respect to gender, age, cause of poisoning, type of substance used, route of exposure, reason for the intake, signs and symptoms, time of referral to the hospital, hospitalization period, and prognosis. The age group of most poisoning cases was <5 years of age and constituted 51% (n = 197) of all cases. The main toxic agent was drugs (70.2%), followed by foods (8.8%), rodenticides (7%), insecticides/pesticides (4.9%), and carbon monoxide (4.7%). In childhood poisonings, accidental drug poisoning was frequent in toddlers, whereas suicidal poisoning was frequent in adolescents. The suicidal poisoning rate was 23.8% among all poisoning patients, and 98.9% of these patients were adolescents. The suicidal poisoning rates for males and females were 30% and 70%, respectively. An increase in suicidal and inhalation poisonings was observed when compared with previous studies that have been conducted in the same region. The results of the present study suggest that poisonings still represents an important health problem that could be prevented by safe drug storage at home, as well as parental education on adolescence issues, particularly those regarding females.
在本研究中，回顾性评估了 2002 年 1 月至 2006 年 12 月期间在卡拉德尼兹技术大学医学院法拉比医院儿科急诊室就诊的 386 例中毒患者，评估内容包括性别、年龄、中毒原因、使用物质类型、暴露途径、摄入原因、体征和症状、就诊时间、住院时间和预后。大多数中毒病例的年龄组为<5 岁，占所有病例的 51%（n=197）。主要的有毒物质是药物（70.2%），其次是食物（8.8%）、杀鼠剂（7%）、杀虫剂/农药（4.9%）和一氧化碳（4.7%）。在儿童中毒中，婴幼儿常发生意外药物中毒，而青少年常发生自杀性中毒。所有中毒患者中自杀性中毒率为 23.8%，其中 98.9%为青少年。男性和女性的自杀性中毒率分别为 30%和 70%。与在同一地区进行的先前研究相比，自杀和吸入性中毒的发生率有所增加。本研究结果表明，通过在家中安全储存药物以及对青少年问题进行父母教育，特别是针对女性问题的教育，可以预防中毒，仍将是一个重要的健康问题。
