Aïlal F, Dehbi F, Slaoui B
Service de pédiatrie II, Hôpital d'enfants, Centre hospitalier Ibn Rochd, Casablanca.
Rev Med Suisse Romande. 1998 Jun;118(6):543-6.
Acute drug poisonings of the child is a major problem for health authorities all over the world, and are responsible for serious morbidity with mortality risks. The present retrospective study has involved 150 cases of drug poisoning observed in the Casablanca children's hospital over a period of 7 years. Most intoxication cases are accidental (84%), (mostly in children of 1 to 5 years old 74.6%), willful (11.3%), or iatrogenic (4.7%). Happening most often at home (95%) with a high frequency between 5 and 6 p.m. (24%) and 11 a 12 p.m. (13.3%), time of strong hunger. The large majority of drugs wer psychotropic agents (56%), principally diazepins (39%). Followed by oral contraceptive (8%), antihistaminics (8%), analgesics (7%), antibiotics (4%) and others (11%). Prevention is of high importance, and must be made effective on the wildest scale.
儿童急性药物中毒是全球卫生当局面临的一个重大问题,会导致严重发病并伴有死亡风险。本回顾性研究涉及在卡萨布兰卡儿童医院7年期间观察到的150例药物中毒病例。大多数中毒病例是意外中毒(84%),(主要发生在1至5岁的儿童中,占74.6%),蓄意中毒(11.3%)或医源性中毒(4.7%)。中毒事件大多发生在家中(95%),高发时段为下午5点至6点(24%)和晚上11点至12点(13.3%),即饥饿感强烈的时段。绝大多数药物为精神药物(56%),主要是苯二氮䓬类药物(39%)。其次是口服避孕药(8%)、抗组胺药(8%)、镇痛药(7%)、抗生素(4%)和其他药物(11%)。预防至关重要,必须在最广泛的范围内有效开展。