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[儿童家庭事故流行病学:突尼斯南部普通儿科部门的经验]

[Epidemiology of home accidents in childhood: experience in the Division of General Pediatrics in Southern Tunisia].

作者信息

Maaloul Ines, Kmiha Sana, Yaich Sourour, Thouraya Kamoun, Damak Jamel, Aloulou Hajer, Hachicha Mongia

机构信息

Service de Pédiatrie Générale, CHU Hédi Chaker, Sfax, Tunisie.

Service de Médecine Communautaire, CHU Hédi Chaker, Sfax, Tunisie.

出版信息

Pan Afr Med J. 2019 Jun 12;33:108. doi: 10.11604/pamj.2019.33.108.12022. eCollection 2019.

Abstract

Home accidents are a serious public health problem in Pediatrics. They are responsible for heavy morbidity and mortality in the paediatric population. We conducted a retrospective study of 231 cases of domestic accidents in childhood in the Division of General Pediatrics at the Hedi Chaker Hospital, Sfax over a period of 5 years (2008-2012). During the study period, we collected data from 231 domestic accidents. The study involved 124 boys (53.7 %) and 107 girls (46.3%). The average age of patients was 2 years, ranging from 1 day to 14 years; children under 4 years were the most exposed to home accidents (88.7%). Accidental poisonings were the most common accidents (105 cases). Caustics were the most common toxic agents (33 cases), followed by drugs (28 cases) and hydrocarbons (16 cases). Foreign body accidents were the second most common mechanism of injury (64 cases). They included 43 cases of inhalation of foreign bodies and 21 cases of foreign body ingestion. We recorded 28 cases of trauma, 25 cases were caused by a fall from a certain height. We noted 26 cases of scorpion envenomation, 5 cases of drowning, 2 cases of burn and a single case of electric shock. Accidental poisonings and foreign body accidents were the main home accidents noted during our study and the age group 1 -4 years was the most exposed to home accidents.

摘要

家庭意外事故是儿科学领域一个严重的公共卫生问题。它们导致了儿科人群的高发病率和高死亡率。我们对斯法克斯市赫迪·查克医院普通儿科5年期间(2008 - 2012年)的231例儿童家庭意外事故进行了回顾性研究。在研究期间,我们收集了231例家庭意外事故的数据。该研究涉及124名男孩(53.7%)和107名女孩(46.3%)。患者的平均年龄为2岁,年龄范围从1天至14岁;4岁以下儿童最易发生家庭意外事故(88.7%)。意外中毒是最常见的意外事故(105例)。苛性碱是最常见的有毒物质(33例),其次是药物(28例)和碳氢化合物(16例)。异物事故是第二常见的损伤机制(64例)。其中包括43例异物吸入和21例异物吞食。我们记录了28例创伤病例,25例是由从一定高度坠落所致。我们注意到26例蝎子蜇伤、5例溺水、2例烧伤和1例电击。意外中毒和异物事故是我们研究中记录的主要家庭意外事故,1 - 4岁年龄组最易发生家庭意外事故。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1fa/6711678/9e2ea94dbded/PAMJ-33-108-g001.jpg

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