Dayasiri M B Kavinda Chandimal, Jayamanne Shaluka F, Jayasinghe Chamilka Y
University Paediatrics Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Int J Pediatr. 2017;2017:6187487. doi: 10.1155/2017/6187487. Epub 2017 Mar 9.
Plant poisoning is a common presentation in paediatric practice and an important cause of preventable mortality and morbidity in Sri Lanka. The burden of plant poisoning is largely underexplored. The current multicenter study based in rural Sri Lanka assessed clinical profiles, poison related factors, clinical management, complications, outcomes, and risk factors associated with plant poisoning in the paediatric age group. Among 325 children, 57% were male with 64% being below five years of age. 99.4% had ingested the poison. Transfer rate was 66.4%. Most had unintentional poisoning. Commonest poison plant was and poisoning event happened mostly in home garden. 29% of parents practiced harmful first-aid practices. 32% of children had delayed presentations to which the commonest reason was lack of parental concern regarding urgency of seeking medical care. Presence of poisonous plants in home garden was the strongest risk factor for plant poisoning. Mortality rate was 1.2% and all cases had Oleander poisoning. The study revealed the value of community awareness regarding risk factors and awareness among healthcare workers regarding the mostly benign nature of plant poisoning in children in view of limiting incidence of plant poisoning and reducing expenditure on patient management.
植物中毒在儿科临床实践中很常见，是斯里兰卡可预防的死亡和发病的一个重要原因。植物中毒的负担在很大程度上未得到充分研究。目前这项基于斯里兰卡农村地区的多中心研究评估了儿科年龄组中植物中毒的临床特征、中毒相关因素、临床管理、并发症、结局以及危险因素。在325名儿童中，57%为男性，64%年龄在5岁以下。99.4%的儿童摄入了毒物。转诊率为66.4%。大多数为意外中毒。最常见的有毒植物是 ，中毒事件大多发生在家庭花园。29%的家长采取了有害的急救措施。32%的儿童就诊延迟，最常见的原因是家长对寻求医疗护理的紧迫性缺乏关注。家庭花园中存在有毒植物是植物中毒最强的危险因素。死亡率为1.2%，所有病例均为夹竹桃中毒。该研究揭示了社区对危险因素的认识以及医护人员对儿童植物中毒大多为良性性质的认识对于限制植物中毒发生率和减少患者管理费用的价值。 （注：原文中“Commonest poison plant was ”此处“ ”内容缺失）
