对儿科急诊科收治的中毒病例的评估。
Evaluation of poisoning cases admitted to pediatric emergency department.
作者信息
Gokalp Gamze
机构信息
Izmir Katip Celebi University, Faculty of Medicine, Department of Pediatric Emergency, Turkey.
出版信息
Int J Pediatr Adolesc Med. 2019 Sep;6(3):109-114. doi: 10.1016/j.ijpam.2019.07.004. Epub 2019 Jul 3.
BACKGROUND
Every year, more than one million children lose their lives due to preventable accidents. Poisoning is the most common among these accidents.
OBJECTIVE
In this study, we investigated the demographic and clinical characteristics of poisoning cases referred to the pediatric emergency department.
METHODS
The cases (0-18 years old) related to complaints of intoxication in the pediatric emergency department between January 1, 2017, and December 31, 2017, were examined retrospectively.
RESULTS
The study included 453 patients, with 202 (46.4%) female and 233 (53.6%) male patients. The mean age of the patients was 51.12 months. The most frequent poisoning agents were 211 (46.6%) household cleaning products and 172 (38%) drugs. When the mechanism of poisoning was examined, it was determined that 377 (83.2%) cases were accidental and 47 (10.4%) cases were suicide attempts. It was observed that 286 (45.8%) items were not in original packaging and 95% of those in original packaging were not locked.
CONCLUSION
To avoid childhood poisoning that may have widespread and serious consequences, the poisonous products should be sold with locked covers and kept in places where children cannot reach them.
背景
每年有超过100万儿童因可预防的事故丧生。中毒是这些事故中最常见的。
目的
在本研究中，我们调查了转诊至儿科急诊科的中毒病例的人口统计学和临床特征。
方法
回顾性研究2017年1月1日至2017年12月31日期间儿科急诊科与中毒投诉相关的病例（0至18岁）。
结果
该研究纳入453例患者，其中女性202例（46.4%），男性233例（53.6%）。患者的平均年龄为51.12个月。最常见的中毒物质是211例（46.6%）家用清洁产品和172例（38%）药物。检查中毒机制时，发现377例（83.2%）为意外中毒，47例（10.4%）为自杀未遂。观察到286件（45.8%）物品没有原包装，原包装的物品中有95%没有上锁。
结论
为避免可能产生广泛严重后果的儿童中毒，有毒产品应加锁销售，并放置在儿童够不到的地方。
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