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本文引用的文献

1
Study of poisoning cases in a tertiary care hospital.三级护理医院中毒病例研究。
Kathmandu Univ Med J (KUMJ). 2012 Oct-Dec;10(40):70-3. doi: 10.3126/kumj.v10i4.10999.
2
Poisonings at Nepal Medical College Teaching Hospital.尼泊尔医学院教学医院的中毒事件。
Nepal Med Coll J. 2011 Sep;13(3):199-204.
3
Poisoning cases attending emergency department in Dhulikhel Hospital- Kathmandu University Teaching Hospital.加德满都大学教学医院杜利凯尔医院急诊科收治的中毒病例。
Kathmandu Univ Med J (KUMJ). 2009 Apr-Jun;7(26):152-6. doi: 10.3126/kumj.v7i2.2711.
4
Acute pesticide poisoning: a proposed classification tool.急性农药中毒：一种提议的分类工具。
Bull World Health Organ. 2008 Mar;86(3):205-9. doi: 10.2471/blt.08.041814.
5
Acute pesticide poisoning--a global public health problem.急性农药中毒——一个全球公共卫生问题。
Dan Med Bull. 2007 Feb;54(1):58-9.
6
Manner of death and circumstances in fatal poisonings: evidence from New Jersey.致命中毒的死亡方式及情况：来自新泽西州的证据
Inj Prev. 2006 Dec;12 Suppl 2(Suppl 2):ii44-ii48. doi: 10.1136/ip.2006.012583.
7
Poisoning : pattern and profile of admitted cases in a hospital in central Nepal.中毒：尼泊尔中部一家医院收治病例的模式与概况
JNMA J Nepal Med Assoc. 2005 Jul-Sep;44(159):92-6.
8
A study of poisoning cases in emergency Kathmandu Medical College Teaching Hospital.加德满都医学院教学医院急诊科中毒病例研究。
Kathmandu Univ Med J (KUMJ). 2005 Oct-Dec;3(4):388-91.
9
Reaching for the bottle of pesticide--a cry for help. Self-inflicted poisonings in Sri Lanka.伸手去拿那瓶农药——一声求救呼喊。斯里兰卡的自我中毒事件
Soc Sci Med. 2006 Apr;62(7):1710-9. doi: 10.1016/j.socscimed.2005.08.020. Epub 2005 Sep 13.
10
Self poisoning with pesticides.农药自服中毒
BMJ. 2004 Jan 3;328(7430):42-4. doi: 10.1136/bmj.328.7430.42.

中毒患者就诊于一家三级医疗中心的急诊医学部：一项描述性横断面研究。

Poisoning among Patients Presenting to the Department of Emergency Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of General Practitioners and Emergency Medicine, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.

Ramghat Primary Health Center, Gaushala, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Oct 1;60(254):861-864. doi: 10.31729/jnma.7878.

DOI:10.31729/jnma.7878
PMID:36705146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9924923/
Abstract

INTRODUCTION

Poisoning is one of the major public health problems worldwide. The World Health Organization has estimated 0.3 million deaths a year due to various poisoning agents; pesticides being the leading one. Poisoning is one of the leading causes of emergency room visits. It has become a significant public health issue in Nepal. This study aimed to find out the prevalence of poisoning among patients presenting to the Department of Emergency Medicine of a tertiary care centre.

METHODS

A descriptive cross-sectional study was done in the Department of Emergency Medicine of a tertiary care centre from 24 June 2022 to 6 July 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: 11/2022). Data from 765 patients were collected from the hospital records. The patient's history and clinical examination were used to make the diagnosis of poisoning. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 765 patients visiting the emergency department, 8 (1.04%) (0.99-1.09, 95% Confidence Interval) patients were of poisoning. The most common poison used was organophosphates which was consumed by 2 (25%) patients and benzodiazepines by 2 (25%) patients.

CONCLUSIONS

The prevalence of poisoning among patients presenting to the Department of Emergency Medicine was similar when compared to other studies conducted in similar settings. Although agricultural poisons were commonly used, cases of drug poisoning seems to be on the rise nowadays.

KEYWORDS

emergency department; poisoning; prevalence.

摘要

简介

中毒是全球主要的公共卫生问题之一。世界卫生组织估计，每年有 30 万人死于各种中毒剂，其中农药是主要原因。中毒是急诊科就诊的主要原因之一。在尼泊尔，它已成为一个重大的公共卫生问题。本研究旨在了解在一家三级保健中心的急诊医学科就诊的患者中毒的发生率。

方法

在 2022 年 6 月 24 日至 7 月 6 日期间，在一家三级保健中心的急诊医学科进行了一项描述性的横断面研究。已获得机构审查委员会的伦理批准（编号：11/2022）。从医院记录中收集了 765 名患者的数据。根据患者的病史和临床检查来诊断中毒。使用方便抽样法。计算了点估计值和 95%置信区间。

结果

在 765 名到急诊科就诊的患者中，有 8 名（1.04%）（0.99-1.09，95%置信区间）患者发生了中毒。最常用的毒物是有机磷，有 2 名（25%）患者服用，2 名（25%）患者服用了苯二氮䓬类药物。

结论

与在类似环境中进行的其他研究相比，到急诊医学科就诊的患者中毒的发生率相似。尽管农业毒物常用，但如今药物中毒的情况似乎呈上升趋势。

关键词

急诊科；中毒；发生率。