Sungur S, Bilge U, Acar N, Unluoglu I
Department of Family Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Department of Emergency Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Niger J Clin Pract. 2018 Aug;21(8):1023-1028. doi: 10.4103/njcp.njcp_291_17.
We aimed to evaluate demographic, etiological, clinical features, and prognosis of poisoning cases applied to a tertiary emergency department retrospectively.
The recordings of poisoning cases aged 18 years old and over which applied to the department of emergency medicine between the dates of 2010-2015 were examined. Age, gender, admission date, amount of time passed since exposure to the poisonous substance, application method, cause of poisoning, laboratory findings at arrival, vital signs, type of poisonous substance, the way of taking, treatment method in urgent care, consultation need, and the outcome of cases were recorded.
Of the poisoning cases, 437 (52.1%) were female, and 402 (47.9%) were male. The mean age was calculated as 33.50. When the cause of poisonings are examined; 456 patients were found to be poisoned by a suicide attempt, 350 were accidentally poisoned, and 33 were poisoned by treatment complication. As the causing substance of poisoning, medicinal drugs were found in 465 cases (55.4%), carbon monoxide in 205 cases (24.4%), and narcotics in 119 cases (14.2%). Of medicinal drug poisonings, 221 (46.8%) were multiple drug intake. It was seen that 46.6% of the patients were kept under observation with only symptomatic treatment while nasogastric lavage and activated charcoal were applied in 40.2% of them.
It can be suggested that poisonings are encountered more commonly in young people, especially in women, with medicinal drugs and for suicidal purposes. Drugs detected at high rates in poisonings, such as painkillers and antidepressants, should be used more cautiously.
我们旨在回顾性评估三级急诊科收治的中毒病例的人口统计学特征、病因、临床特征及预后情况。
对2010年至2015年期间急诊科收治的18岁及以上中毒病例的记录进行检查。记录年龄、性别、入院日期、接触有毒物质后经过的时间、就诊方式、中毒原因、入院时的实验室检查结果、生命体征、有毒物质类型、服用方式、急诊治疗方法、会诊需求及病例结局。
中毒病例中，女性437例（52.1%），男性402例（47.9%）。平均年龄计算为33.50岁。检查中毒原因时发现，456例患者因自杀企图中毒，350例意外中毒，33例因治疗并发症中毒。作为中毒的致病物质，465例（55.4%）为药物，205例（24.4%）为一氧化碳，119例（14.2%）为麻醉药品。在药物中毒中，221例（46.8%）为多种药物摄入。可见46.6%的患者仅接受对症治疗并接受观察，而40.2%的患者接受了洗胃和活性炭治疗。
可以认为中毒在年轻人中更常见，尤其是女性，中毒原因多为药物及自杀目的。在中毒中检出率较高的药物，如止痛药和抗抑郁药，应更加谨慎使用。
