Fang J Y, Zhang H L, Xu H X
Taizhou Center for Disease Control and Prevention, Taizhou318000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 Apr 20;37(4):273-277. doi: 10.3760/cma.j.issn.1001-9391.2019.04.007.
To conduct a characteristic analysis of the case of acute hydrogen sulfide poisoning in fishing boats for nearly ten years in a city, and to research on prevention and control measures, so as to provide scientific basis for formulating prevention strategies. In July 2018, collecting the data of acute hydrogen sulfide poisoning in fishing boats recorded by the Oceanic and Fishery Department & Health Sector from January 1, 2009 to June 30, 2018, the accident characteristics of acute hydrogen sulfide poisoning in fishing boats was analyzed, and compared the differences of hydrogen sulfide poisoning under different classification statistics. In the past ten years, there were 14 acute poisonings in the city, 34 people were poisoned and 12 deaths (the case fatality rate was 35.3%) . According to the types of fishing vessels, the majority number of acute hydrogen sulfide poisoning incidents, poisoned persons and deaths occurred on fishing boats, accounted for 71.4% (10/14) , 76.5% (26/34) and 75.0% (9/12) respectively. From the location of the accident, 85.7% (12/14) of the acute hydrogen sulfide poisoning incidents occurred outside the fishing port. Fisher's exact test showed that the case fatality rate in within the fishing port was higher than that outside the fishing port (=0.008) . From the cause of direct poisoning, the first three reasons were enter the fish room to rescue, enter the fish room to move fresh catch, to clean the fish room. The poisoning showed seasonal changes, Fisher's exact test showed that the fatality rate in summer was significantly higher than that in spring (=0.044) , but there was no statistical significance in other seasons (>0.05) . The acute hydrogen sulfide poisoning of fishing boats in this city has a high case fatality rate, frequent collective poisoning, and showed seasonal changes. Blind rescue, incomplete facilities, and inadequate system are important factors leading to poisoning, so daily measures and rescue measures should be strengthened to reduce the occurrence of poisoning and casualties.
对某城市近十年渔船急性硫化氢中毒病例进行特征分析，并研究防控措施，为制定预防策略提供科学依据。2018年7月，收集海洋与渔业部门及卫生部门记录的2009年1月1日至2018年6月30日期间渔船急性硫化氢中毒数据，分析渔船急性硫化氢中毒事故特征，并比较不同分类统计下硫化氢中毒的差异。过去十年，该市共发生14起急性中毒事件，34人中毒，12人死亡（病死率为35.3%）。按渔船类型，急性硫化氢中毒事件、中毒人数和死亡人数最多的发生在捕捞船上，分别占71.4%（10/14）、76.5%（26/34）和75.0%（9/12）。从事故发生地点看，85.7%（12/14）的急性硫化氢中毒事件发生在渔港外。Fisher确切概率法检验显示，渔港内的病死率高于渔港外（P = 0.008）。从直接中毒原因看，前三位原因是进入鱼舱施救、进入鱼舱搬运新鲜渔获、清理鱼舱。中毒呈现季节性变化，Fisher确切概率法检验显示夏季病死率显著高于春季（P = 0.044），但其他季节无统计学意义（P>0.05）。该市渔船急性硫化氢中毒病死率高、集体中毒频繁且呈现季节性变化。盲目施救、设施不完善和制度不健全是导致中毒的重要因素，应加强日常防范措施和救援措施，以减少中毒事件及伤亡的发生。
