Ik Karthika, Priyadarshini Debashree, Nakka Swathi, John Joseph, Mahapatro Samarendra, Dwibedi Bhagirathi, Satapathy Amit K
Pediatrics, All India Institutes of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus. 2021 Dec 3;13(12):e20144. doi: 10.7759/cureus.20144. eCollection 2021 Dec.
Accidental poisoning, though preventable, has continued to be one of the most prevalent medical emergencies among children in developing countries.
To describe the clinico-demographic profile and outcome of children with hydrocarbon poisoning at a tertiary care teaching hospital from Eastern India.
A retrospective analysis of the hospital case records of all children <15 years of age admitted with hydrocarbon poisoning from January 2015 to October 2018 was performed.
Out of 2658 total admissions, 21 children were admitted with hydrocarbon poisoning during the study period. The median age was 2.6 years (range, 1 to 14 years). Majorities (76%) were <5 years of age. The male/female ratio was 5:2. The majority belonged to rural areas (80.9%) and low socioeconomic status (71.4%). In all the cases, poisoning was accidental in nature. Kerosene (71.4%) and turpentine oil (24%) were the most common agents implicated. Majorities (95.3%) were symptomatic requiring hospitalization. Fever and vomiting were the most commonly observed symptoms (57%). Neutrophilic leucocytosis was observed in 62% of cases. Abnormal chest radiography was observed in 67% of cases. There was no mortality.
The majority of the children with hydrocarbon poisoning are under five years of age with the accidental mode of poisoning in the current study. Kerosene was the most common agent. The outcome was excellent without any mortality.
意外中毒虽然可以预防，但仍是发展中国家儿童中最常见的医疗紧急情况之一。
描述印度东部一家三级护理教学医院中碳氢化合物中毒儿童的临床人口统计学特征及转归。
对2015年1月至2018年10月期间收治的所有15岁以下碳氢化合物中毒儿童的医院病例记录进行回顾性分析。
在2658例总入院病例中，研究期间有21例儿童因碳氢化合物中毒入院。中位年龄为2.6岁（范围1至14岁）。大多数（76%）年龄小于5岁。男女比例为5:2。大多数儿童来自农村地区（80.9%）且社会经济地位较低（71.4%）。所有病例中毒均为意外性质。煤油（71.4%）和松节油（24%）是最常见的相关中毒剂。大多数（95.3%）有症状需要住院治疗。发热和呕吐是最常见的症状（57%）。62%的病例观察到中性粒细胞增多。67%的病例胸部X线检查异常。无死亡病例。
在本研究中，大多数碳氢化合物中毒儿童年龄在5岁以下，中毒方式为意外。煤油是最常见的中毒剂。转归良好，无死亡病例。
