Kamińska Halla, Gawlik Aneta, Gawlik Tomasz, Małecka-Tendera Ewa
Klinika Diabetologii Dziecięcej Katedry Pediatrii, ŚUM Katowice.
Klinika Pediatrii i Endokrynologii Dziecięcej, ŚUM Katowice.
Psychiatr Pol. 2018 Apr 30;52(2):387-398. doi: 10.12740/PP/67601.
To determine the frequency of hospitalizations due to alcohol intoxication (AI) at the Pediatric Health Center, and to attempt to identify factors contributing to the occurrence of intoxication in the population of children and adolescents.
Medical documentation of 227 patients hospitalized due to AI. 108 (48%) patients were girls and 119 (52%) patients were boys. The mean age of the study group was 14.9 years ±2.1. Data regarding patients, their families and the circumstances of intoxication underwent analysis.
Alcohol intoxication constituted 2.8% of all hospitalizations. The number of hospitalizations between 2000 and 2011 showed an increasing tendency with some fluctuations within years. Spirits were predominant alcohol beverages. Over 10% of patients required a short-term hospital stay at the Department of Anesthesiology and Intensive Care. In 13% of children, coexisting medicine or drug intoxication was observed and 10% of patients presented with alcohol-related injury to the head or extremities. Risky sexual behaviors were noted in 25% of girls. The majority of children were raised by two parents who had received primary education. Alcoholism was present in over 20% of the families. In single-parent families, fathers were more frequently absent and a lack of a regular source of income was more often related to mothers.
There are no uniform standards of multi-specialist medical care for children hospitalized due to AI. Identification of children consuming alcohol is recommended. It should be done by primary physicians, pediatricians, teachers and psychologists. Minor patients hospitalized due to AI should be provided with a long-term and comprehensive care.
确定儿科健康中心因酒精中毒(AI)住院的频率,并试图找出导致儿童和青少年群体中酒精中毒发生的因素。
对227例因酒精中毒住院患者的医疗记录进行研究。其中108例(48%)为女孩,119例(52%)为男孩。研究组的平均年龄为14.9岁±2.1岁。对患者、其家庭及酒精中毒情况的数据进行分析。
酒精中毒占所有住院病例的2.8%。2000年至2011年期间的住院人数呈上升趋势,且年内有一些波动。烈酒是主要的酒精饮料。超过10%的患者需要在麻醉和重症监护科短期住院。13%的儿童同时存在药物或毒品中毒,10%的患者有与酒精相关的头部或四肢损伤。25%的女孩存在危险的性行为。大多数儿童由接受过小学教育的双亲抚养。超过20%的家庭存在酗酒问题。在单亲家庭中,父亲更常缺席,而缺乏固定收入来源则更常与母亲有关。
对于因酒精中毒住院的儿童,目前尚无统一的多专科医疗护理标准。建议由基层医生、儿科医生、教师和心理学家识别饮酒儿童。因酒精中毒住院的未成年患者应接受长期和全面的护理。