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美国急诊科治疗小儿灯油伤。

Pediatric Lamp Oil Injuries Treated in US Emergency Departments.

机构信息

Independent Researcher, Austin, TX.

出版信息

Pediatr Emerg Care. 2022 Jan 1;38(1):e165-e169. doi: 10.1097/PEC.0000000000002194.

DOI:10.1097/PEC.0000000000002194
PMID:32665508
Abstract

OBJECTIVE

Ingestion and aspiration of lamp oil may result in serious adverse effects and even death. The objective of this study was to describe pediatric lamp oil-related injuries treated at US emergency departments (EDs).

METHODS

Cases were lamp oil-related injuries among patients aged 0 to 5 years reported to the National Electronic Injury Surveillance System during 2001-2018. The distribution of the number of cases and national estimate were determined for selected variables.

RESULTS

A total of 317 pediatric lamp oil-related injuries treated at US EDs during 2001-2018 were identified, resulting in a national estimate of 9501 injuries (95% confidence interval, 6937-12,065). The national estimate declined from 1599 in 2001 to 59 in 2014 before increasing once more to 596 in 2017. The patients were 5.4% aged less than 1 year; 62.2%, 1 year; 23.0%, 2 years; 6.6%, 3 years; 2.2%, 4 years; and 0.6%, 5 years; 68.6% of the patients were boys and 31.4% were girls. Ingestions accounted for 91.9% of the injuries, and 82.1% occurred at home. The disposition of the patient was treated or examined and released (68.2%), treated and transferred to another hospital (13.2%), treated and admitted for hospitalization (14.4%), held for observation (4.2%), and not recorded (0.1%).

CONCLUSIONS

Although the estimated number of lamp oil-related injuries declined during 2000-2014, it increased during 2015-2017. Most of the patients were aged 1 to 2 years and boys. The majority of the injuries occurred by ingestion and at home. Most of the patients were treated or evaluated and released from the ED.

摘要

目的

吞食和吸入煤油可能会导致严重的不良反应,甚至死亡。本研究的目的是描述美国急诊部(ED)治疗的与儿童煤油相关的损伤。

方法

本研究纳入了 2001 年至 2018 年期间全国电子伤害监测系统报告的年龄在 0 至 5 岁之间的与煤油相关的损伤病例。对选定变量的病例数量和全国估计值进行了分布分析。

结果

2001 年至 2018 年期间,美国 ED 共治疗了 317 例与儿童煤油相关的损伤,全国估计值为 9501 例(95%置信区间,6937-12065)。2001 年的全国估计值为 1599 例,到 2014 年下降至 59 例,然后在 2017 年再次增加至 596 例。患者中,年龄小于 1 岁的占 5.4%,1 岁的占 62.2%,2 岁的占 23.0%,3 岁的占 6.6%,4 岁的占 2.2%,5 岁的占 0.6%;68.6%的患者为男孩,31.4%为女孩。摄入占 91.9%的损伤,82.1%发生在家中。患者的处置方式为治疗并留观(68.2%)、治疗后转至其他医院(13.2%)、治疗后住院(14.4%)、留观(4.2%)和未记录(0.1%)。

结论

尽管 2000-2014 年期间估计的煤油相关损伤数量有所下降,但 2015-2017 年期间又有所增加。大多数患者年龄在 1 至 2 岁之间,且为男性。大多数损伤是通过摄入引起的,发生在家中。大多数患者在 ED 接受治疗或评估后离院。

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