急性百草枯中毒流行病学调查及预后影响因素分析  

Analysis of Epidemiological Investigation and Prognostic Influence Factors of Acute Paraquat Poisoning

作　　者：朱文捷[1] 陈英杰[1] 吴贤仁[1] 

机构地区：[1]汕头大学医学院第一附属医院急诊科,广东汕头515041

出　　处：《黑龙江医学》2015年第8期925-926,共2页Heilongjiang Medical Journal

摘　　要：目的分析急性百草枯中毒的流行病学特征及相关预后因素。方法回顾性分析我院急救中心收治的112例急性百草枯中毒患者的临床资料,采用自行设计的调查表,对急性百草枯中毒进行流行病学调查,总结影响预后的相关因素。结果流行特征：急性百草枯中毒患者以20～39岁男性为主,口服中毒是主要途径,死亡率58.04%。预后影响因素：中毒剂量、血液灌流治疗时间、24 h内APACHEⅡ评分与预后密切相关（P〈0.05）。结论急性百草枯中毒临床特征复杂,分析其流行特征及预后影响因素,为预防和救治急性百草枯中毒、降低患者病死率提供参考。Objective To analyze the epidemiological characteristics of acute paraquat poisoning and the factors of prognosis. Methods Retrospective analysis of clinical data for 112 cases of acute PQ of emergency center in the hospital was carried out,using a self- designed questionnaire,epidemiological survey was conducted on the acute PQ poisoning,and summarizing the related factors affecting the prognosis. Results The epidemic features： the acute PQ poisoning tended to happen in the 20 ～ 39 years old male,and oral poisoning was the main way,the mortality rate was 58. 04%. Prognostic factors： toxic dose,hemoperfusion treatment time,24 h APACHE II score were closely related to prognosis（ P〈0. 05）. Conclusion The clinical characteristics of acute PQ poisoning is complicated. The epidemic characteristics and prognostic factors for the prevention and treatment of acute PQ poisoning are analyzed to provide reference for reducing the mortality of patients.

关 键 词：百草枯 急性中毒 流行特征 预后 

分 类 号：R595.4[医药卫生—内科学]