津冀地区4496例化学性药物中毒的调查  

Survey on 4496 cases of chemistry drug poisoning in Tianjin and Hebei area

作　　者：陈姿如[1] 张明华[1] 吴名[1] 陈礼明[1] 刘军生[2] 杜书明[1] 

机构地区：[1]武警后勤学院附属医院,天津300162 [2]中国人民解放军二五四医院急诊科,天津300142

出　　处：《国际检验医学杂志》2015年第9期1241-1243,共3页International Journal of Laboratory Medicine

摘　　要：目的探讨津冀地区临床化学性药物中毒的规律和特点,提高临床中毒救治水平,研究预防药物中毒的方法和措施。方法 2012年5月1日至2013年4月30日采用描述性流行病学方法和仪器检测相结合,准确鉴定中毒药物,然后制作药物中毒情况调查表,按照患者性别、年龄和中毒药物的类别、成分、中毒发生的季节以及中毒原因等分别统计。结果津冀地区临床药物中毒城市以镇静安眠药为主,有机磷以敌敌畏中毒较多见,乡村以低度有机磷和拟除虫菊酯中毒为主,百草枯中毒呈明显上升趋势,且治疗困难,病死率高。结论建立建全镇静类药品管理和使用制度,加强对农药的管理,普及科学、安全、合理使用农药和贮存农药的知识是减少中毒病例的有效措施。热爱生活,珍惜生命,从根本上预防和减少家庭悲剧的发生。Objective To explore the rules and characteristics of clinical chemistry drug poisoning in Tianjin and Hebei area for improving the level of clinical poisoning treatment and researching the methods and measures to prevent the drug poisoning. Meth- ods The survey period was from May 1,2012 to April 30,2013 by using the descriptive epidemiological method combined with the instrument detection. The drug poisoning was accurately identified and then the drug poisoning situation questionnaire was pre- pared. The data were performed the statistics according to gender,age,type of drug poisoning,composition,occurrence season and poisoning cause. Results Clinical drug poisoning in Tianjin and Hebei area was dominated by sedative hypnotics in cities,in organic phosphorus poisoning, dichlorvos poisoning was more common,low organic phosphorus and pyrethroids poisoning were main in the countryside, paraquat poisoning showed the increasing trend and was difficult to treat with high mortality. Conclusion Establishing and perfecting the management and use system of sedative drugs,strengthening the pesticide management, popularizing the knowl- edge of scientific, safe and rational use and storage of pesticides are the effective measures to reduce pesticide poisoning. Love life, cherish life,the occurrence of family tragedy can be fundamentally prevented and reduced.

关 键 词：药物 中毒 农药 鼠药 

分 类 号：R595.4[医药卫生—内科学]