Bouknight R R, Alguire P C, Lofgren R P, Hoppe R B
J Fam Pract. 1986 Sep;23(3):223-5.
One hundred sixty cases of self-poisoning of patients aged 15 years and older were treated on the wards of the four community hospitals of Lansing, Michigan, in 1981. Most cases (91 percent) were intentional and represented suicide attempts. The complication rate was 13.8 percent and the overdose-related mortality rate 0.6 percent. Aspiration pneumonia was the most common complication, followed by respiratory failure and seizures. No patient with a level of consciousness stage 0 or 1 in the emergency room had a major overdose-related complication with permanent sequelae, and this group represented 80 percent of the cases. One possible guideline for managing the self-poisoner is level of consciousness in the emergency room.
1981年，密歇根州兰辛市的四家社区医院的病房收治了160例15岁及以上的自我中毒患者。大多数病例（91%）是故意的，属于自杀未遂。并发症发生率为13.8%，过量用药相关死亡率为0.6%。吸入性肺炎是最常见的并发症，其次是呼吸衰竭和癫痫发作。在急诊室意识水平为0或1期的患者中，没有出现与过量用药相关的严重并发症及永久性后遗症，而这组患者占病例总数的80%。管理自我中毒者的一个可能指导原则是急诊室的意识水平。
