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伊朗西南部百草枯中毒调查——从体征到死亡率和发病率

Investigation Paraquat Poisoning in Southwest of Iran - from Sign to Mortality and Morbidity.

作者信息

Jamshidi Farkhonde, Fathi Glareh, Davoodzadeh Hannaneh

出版信息

Arch Med Sadowej Kryminol. 2017;67(1):35-45. doi: 10.5114/amsik.2017.70336.

DOI:10.5114/amsik.2017.70336
PMID:28972357
Abstract

Introduction: Paraquat is the most important herbicide of bi-prides class which is used widely in agriculture part but in many countries such as Iran, this herbicide use for suicide. This study was conducted with the aim to investigating Paraquat poisoning in Khuzestan province of Iran. Material and methods: This study is a retrospective and statistic investigation in which 159 files of toxicity cases were investigated during 2004 to 2015. The patients were contacted to inquire into their health, after completing a questionnaire, the data was gathered and analyzed using SPSS software. Result: Of 159 patients studied for paraquate poisoning, 65 patients (40.9%) were female and 94 patients (59.1%) were male and 138 cases (86.8%) of patients were 15-29 years and 150 patients (66%) were single. rate of poisoning due to suicide was 96.9%. First signs in this patients was Nausea and Vomiting, Mouth and throat ulcers, Mouth and throat erythema and Mouth and throat Irritation. 113 patients (71.1%) were treated by specialized medicines without antibiotics. 73 patients (45.9%) developed acidosis during hospitalization, and 13 patients (8.2%) experienced alkalosis. Sixty-three cases (39.6%) died. Conclusions: The current study showed that paraquet is one of the deadliest poisons in Khozestan province which is used frequently for suicide. Considering the high importance of this substance in agriculture, it cannot be replaced by other toxins. Furthermore, this study showed that drug therapy has not continued after discharge of survived patients.

摘要

引言

百草枯是双吡啶类最重要的除草剂,广泛应用于农业领域,但在伊朗等许多国家,这种除草剂被用于自杀。本研究旨在调查伊朗胡齐斯坦省的百草枯中毒情况。

材料与方法

本研究是一项回顾性统计调查,调查了2004年至2015年期间159例中毒病例档案。在完成一份问卷后,与患者联系询问其健康状况,收集数据并使用SPSS软件进行分析。

结果

在研究的159例百草枯中毒患者中,65例(40.9%)为女性,94例(59.1%)为男性,138例(86.8%)患者年龄在15 - 29岁之间,150例(66%)为单身。自杀导致中毒的比例为96.9%。这些患者的首发症状为恶心、呕吐、口腔和咽喉溃疡、口腔和咽喉红斑以及口腔和咽喉刺激。113例(71.1%)患者接受了不含抗生素的专科药物治疗。73例(45.9%)患者在住院期间发生酸中毒,13例(8.2%)患者发生碱中毒。63例(39.6%)患者死亡。

结论

当前研究表明,百草枯是胡齐斯坦省最致命的毒物之一,经常被用于自杀。鉴于该物质在农业中的高度重要性,无法被其他毒素替代。此外,本研究表明,幸存患者出院后未继续进行药物治疗。

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