急诊中毒的特点和中毒死亡的影响因素分析  

Analysis on the Characteristics of Emergency Poisoning and the Influencing Factors of Poisoning Death

作　　者：李星 LI Xing(Department of Occupational Ward,Fushun Occupational Disease Prevention and Control Institute,Fushun 113001,China)

机构地区：[1]抚顺市职业病防治院职业病房,辽宁抚顺113001

出　　处：《中国医药指南》2020年第24期66-68,共3页Guide of China Medicine

摘　　要：目的探究急诊中毒的特点和中毒死亡的影响因素,了解急诊中毒发生特点及规律,提供科学有效的中毒干预策略。方法选取抚顺市职业病防治院2017年7月至2018年12月收纳的120例急诊重度患者作为研究对象。结果 120例患者中主要中毒对象为青壮年75例(62.50%),且城市中毒患者(48例)低于农村(72例)(P <0.05),中毒职业最高的为从事农业劳动力者37.50%(45/120);中毒主要事发因素为意外事故70.00%(84/120),主要中毒毒性物质为农药55.83%(67/120),家中的毒发事件多于户外71.67%(86/120),同时呈现出季节性;急诊患者中毒死亡的主要影响因素有农药、年龄以及毒品等,并通过多因素logistic回归分析中毒死亡影响因素。结论对中毒患者的特点及死亡因素进行研究,可帮助医师更具有针对性地对中毒患者急诊事件进行处理;对危险因素进行积极有效的控制,可改善中毒患者的预后,有利于提高患者生存率。Objective To investigate the characteristics of acute poisoning and the influence factors of poisoning death.Methods One hundred twenty cases of severe emergency patients admitted from July 2017 to December 2018 were selected for the study,and their clinical data were analyzed.Results The 120 patients,75(62.50%)were young adults,and the number of urban poisoning patients(48)was lower than that of rural(72)(P<0.05),the highest poisoning occupation is 37.50%of those engaged in agricultural labor(45/120);The main cause of poisoning was an accident of 70.00%(84/120),the main toxic substances were 55.83%(67/120),and the number of poisoning incidents in the home was more than 71.67%(86/120),at the same time showing seasonality.The main infl uencing factors of poisoning death in emergency patients are pesticides,age,and drugs,and are summarized by multi-factor regression analysis.Conclusion The study of the characteristics and death factors of poisoning patients can be more targeted to the emergency treatment of poisoning patients,and it is benefi cial to promote the survival rate of patients.

关 键 词：急诊 中毒特点 影响因素 

分 类 号：R595[医药卫生—内科学]