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印度特里普拉邦橡胶乳胶加工酸中毒死亡情况的横断面研究。

A cross-sectional study of poisoning deaths by rubber latex processing acid in Tripura, India.

作者信息

Datta Anupam, Nath Anamika, Debbarma Juthika

机构信息

Resident (Forensic Medicine), Agartala Government Medical College, Tripura, India.

Demonstrator (Forensic Medicine), Tezpur Medical College & Hospital, Tumuki, Assam, India.

出版信息

Med J Armed Forces India. 2024 Dec;80(Suppl 1):S101-S106. doi: 10.1016/j.mjafi.2022.11.003. Epub 2022 Dec 29.

Abstract

BACKGROUND

Rubber latex processing acid poisoning is a frequently encountered phenomenon in Tripura. Formic acid is the preferred choice for coagulating rubber latex in rubber sheet manufacturing units. The objective of this study aimed to assess the epidemiological profile of poisoning deaths by rubber processing acid and to record their autopsy findings.

METHODS

This was a 2-year prospective cross-sectional study of deaths by rubber processing acid ingestion, which were brought for postmortem examination in two health care institutes of Tripura. Profiles of the cases were noted from hospital records, family members, Inquest and Challan papers from police and autopsy findings. All data were entered in SPSS software version 23.0, and Pearson's correlation was used to correlate the corrosion of stomach and survival time.

RESULTS

Of 42 cases, 30.90% were between the ages of 41 and 50 years, and the majority were rubber tappers (69.01%). Familial disharmony (52.38%) was the most common cause of acid consumption. Close proximity (within 1 km) of the rubber tapping area to the consumption spots was observed (59.52%). Overall, 97.62% of victims had corrosion of the stomach and congestion of internal organs, and the majority (66.67%) died within 24 h of consumption.

CONCLUSION

This study emphasises the mortality brought on by rubber latex processing formic acid in areas surrounding rubber plantation. The poisoning prevention and control can be strategised in pre-exposure and exposure levels among vulnerable population based upon Information, Education and Communication model.

摘要

背景

橡胶乳胶加工酸中毒是特里普拉邦经常遇到的现象。在橡胶片制造单位中,甲酸是凝固橡胶乳胶的首选。本研究的目的是评估橡胶加工酸中毒死亡的流行病学概况,并记录尸检结果。

方法

这是一项为期2年的关于因摄入橡胶加工酸导致死亡的前瞻性横断面研究,这些死亡案例被送到特里普拉邦的两家医疗机构进行尸检。从医院记录、家庭成员、警方的死因调查和传票文件以及尸检结果中记录病例概况。所有数据都录入SPSS 23.0软件,并用Pearson相关性分析胃腐蚀程度与存活时间的关系。

结果

在42例病例中,30.90%的患者年龄在41至50岁之间,大多数是橡胶采集工(69.01%)。家庭不和(52.38%)是最常见的酸摄入原因。观察到橡胶采集区域与酸摄入地点距离很近(在1公里范围内)(59.52%)。总体而言,97.62%的受害者有胃腐蚀和内脏充血,大多数(66.67%)在摄入酸后24小时内死亡。

结论

本研究强调了橡胶种植园周边地区橡胶乳胶加工甲酸导致的死亡率。可根据信息、教育和沟通模式,在易受害人群的暴露前和暴露阶段制定中毒预防和控制策略。

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