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重症监护病房治疗的儿童急性中毒的发生率、病因及若干社会人口学特征。

Frequency, etiology and several sociodemographic characteristics of acute poisoning in children treated in the intensive care unit.

作者信息

Azemi Mehmedali, Berisha Majlinda, Kolgeci Selim, Bejiqi Ramush

机构信息

Pediatric Clinic, University Clinical Center of Kosovo, Pristina.

出版信息

Mater Sociomed. 2012;24(2):76-80. doi: 10.5455/msm.2012.24.76-80.

Abstract

AIM

The aim of this work has been to present the frequency, etiology and several other socio-demographic characteristics of acute poisoning in children. THE TREATED PATIENTS AND METHODS OF WORK: The treated patients were children of all age groups hospitalized in the Pediatric Clinic of Prishtina during year 2009. The study was done retrospectively. The diagnosis was done on the basis of heteroanamnesis and in several cases on the basis of the anamnesis data of a child, routine laboratory tests and toxicologic analysis.

RESULTS

66 (9.4%) poisoned children were treated in the Intensive Care Unit. The biggest number of patients, 37 (56.06%) of them, were male, and out of that number 36 (54.55%) cases were coming from rural areas. The biggest number of them 49 (74.98%) were over 2-6 years old. The poisoning was mostly caused through the digestive tract (ingestion), it happened with 55 cases (83.33%), 56 cases (84,80%) suffered from severe poisoning, whereas 59 cases (89,50%) suffered from accidental poisoning. Regarding the type of the substances that caused poisoning, the most frequent were drugs in 34 (51.50%) cases and pesticides in 20 (30.30%) cases. Among drugs, the most dominant were those belonging to a group of benzodiazepines (10 cases) and metoclopramide (4 cases). Among pesticides the most dominant one that caused poisoning was malation (5 cases), then paration and cipermetrina appeared in 3 cases each. The biggest number of cases, 64 (96.96%) of them, were treated, whereas 2 cases (3.40%) passed away.

CONCLUSION

The practice proved that that our people are not well informed about the poisoning in general, therefore it is necessary that they be educated by the use of all media, written and electronic, as well as other methods of medical education.

摘要

目的

本研究旨在呈现儿童急性中毒的发生率、病因及其他一些社会人口学特征。

研究对象与方法

研究对象为2009年在普里什蒂纳儿科诊所住院的各年龄段儿童。本研究为回顾性研究。诊断依据为异源性病史,部分病例依据儿童的病史资料、常规实验室检查及毒理学分析。

结果

66名(9.4%)中毒儿童在重症监护室接受治疗。患者中男性居多,有37名(56.06%),其中36名(54.55%)来自农村地区。年龄最大的群体为2至6岁,有49名(74.98%)。中毒主要通过消化道(摄入)发生,有55例(83.33%),56例(84.80%)为重度中毒,59例(89.50%)为意外中毒。关于引起中毒的物质类型,最常见的是药物,有34例(51.50%),其次是农药,有20例(30.30%)。在药物中,最主要的是苯二氮䓬类药物(10例)和甲氧氯普胺(4例)。在农药中,引起中毒最主要的是马拉硫磷(5例),其次是对硫磷和氯氰菊酯,各有3例。大部分病例,64例(96.96%)接受了治疗,2例(3.40%)死亡。

结论

实践证明,我们的民众对中毒总体了解不足,因此有必要通过书面和电子等所有媒体以及其他医学教育方法对他们进行教育。

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