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急性腐蚀性中毒的临床与流行病学特征

Clinical and epidemiological features of acute corrosive poisonings.

作者信息

Chibishev Andon, Pareska Zenina, Chibisheva Vesna, Simonovska Natasa

机构信息

University Clinic of Toxicology, Clinical Centre Skopje, Republic of Macedonia.

出版信息

Med Arch. 2012;66(3 Suppl 1):11-5. doi: 10.5455/medarh.2012.66.s11-s15.

DOI:10.5455/medarh.2012.66.s11-s15
PMID:22937683
Abstract

BACKGROUND

the ingestion of chemical agents, of caustic nature, represents a serious problem for clinical toxicology. If the ingestion doesn't cause death during the acute period, it will most often cause severe side effects in the upper gastrointestinal tract during the chronic phase.

AIMS

The purpose of this study is to show the clinical, epidemiological and socio-economical characteristics seen in acute corrosive poisonings such as ingested caustic agents, causes for abuse and most consequential complications.

MATERIAL AND METHODS

a ten year medical data was constructed and collected (2000-2009) from patients with acute corrosive poisonings who were hospitalized and treated in the University Clinic of toxicology and urgent internal medicine in Skopje, Republic of Macedonia. The variables included were: age, sex, type of poisonings and percentage of late post-corrosive complications.

RESULTS

In the study, 735 patients files were analyzed, collected in a period often years. The mean age of patients is 32.9 +/- 15.6 years. Majority of patients ingested hydrochloric acid (HCl; n = 354; 48,16%).

CONCLUSION

Demographic, diagnostic and therapeutic findings in acute corrosive poisonings are found to be similar to the findings observed in the referenced literature. Conclusively, women between 14 and 30 years old represent a high risk group; hydrochloric acid is the most often abused agent; and high percentage of post-corrosive complications are

摘要

背景

摄入具有腐蚀性的化学制剂是临床毒理学面临的一个严重问题。如果在急性期摄入未导致死亡,那么在慢性期通常会在上消化道引发严重的副作用。

目的

本研究的目的是展示急性腐蚀性中毒(如摄入腐蚀性制剂)的临床、流行病学和社会经济特征、滥用原因以及最常见的并发症。

材料与方法

构建并收集了十年(2000 - 2009年)间在马其顿共和国斯科普里大学毒理学与急诊内科住院治疗的急性腐蚀性中毒患者的医疗数据。纳入的变量包括:年龄、性别、中毒类型以及腐蚀性后期并发症的发生率。

结果

在该研究中,分析了在十年期间收集的735份患者档案。患者的平均年龄为32.9 ± 15.6岁。大多数患者摄入的是盐酸(HCl;n = 354;48.16%)。

结论

急性腐蚀性中毒的人口统计学、诊断和治疗结果与参考文献中的观察结果相似。总之,14至30岁的女性是高危人群;盐酸是最常被滥用的制剂;并且腐蚀性后期并发症的发生率很高。

相似文献

1
Clinical and epidemiological features of acute corrosive poisonings.急性腐蚀性中毒的临床与流行病学特征
Med Arch. 2012;66(3 Suppl 1):11-5. doi: 10.5455/medarh.2012.66.s11-s15.
2
Epidemiology of severe poisonings caused by ingestion of caustic substances.腐蚀性物质摄入所致严重中毒的流行病学
Prilozi. 2007 Dec;28(2):171-83.
3
Conservative therapeutic approach to corrosive poisonings in adults.成人腐蚀性毒物中毒的保守治疗方法。
J Gastrointest Surg. 2013 Jun;17(6):1044-9. doi: 10.1007/s11605-013-2190-9. Epub 2013 Mar 30.
4
Post-corrosive injuries of upper gastrointestinal tract.上消化道腐蚀性损伤
Prilozi. 2010;31(1):297-316.
5
Influence of age on the survival and mortality rate in acute caustic poisonings.年龄对急性腐蚀性中毒患者生存率和死亡率的影响。
Mater Sociomed. 2014 Aug;26(4):272-6. doi: 10.5455/msm.2014.26.272-276. Epub 2014 Aug 26.
6
Respiratory complications from acute corrosive poisonings in adults.成人急性腐蚀性中毒的呼吸系统并发症
Mater Sociomed. 2014 Apr;26(2):80-3. doi: 10.5455/msm.2014.26.80-83. Epub 2014 Apr 11.
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Acute corrosive poisonings - Frequent cause for fatal outcome.急性腐蚀性中毒——导致致命后果的常见原因。
Am J Emerg Med. 2018 Oct;36(10):1904-1905. doi: 10.1016/j.ajem.2018.02.010. Epub 2018 Feb 9.
8
[Early complications of caustic injuries of the digestive tract].[消化道腐蚀性损伤的早期并发症]
Rev Med Chil. 1989 Sep;117(9):1006-11.
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Ingestion of caustic substances: a 15-year experience.腐蚀性物质的摄入:15年经验总结
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[Corrosive substance ingestions management].[腐蚀性物质摄入的管理]
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A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality.
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Respiratory complications from acute corrosive poisonings in adults.成人急性腐蚀性中毒的呼吸系统并发症
Mater Sociomed. 2014 Apr;26(2):80-3. doi: 10.5455/msm.2014.26.80-83. Epub 2014 Apr 11.