2019—2022年某中心医院急性中毒患者流行病学特征分析  

Epidemiological Characteristics of Acute Poisoning in A Central Hospital from 2019 to 2022

作　　者：袁珊珊 张启福 刘欢欢[3] 雷丽 尼比江·阿布都热合曼 曹光奇[3] 李福祥 冯健 郭雪 李茸源 Yuan Shanshan;Zhang Qifu;Liu Huanhuan;Lei Li;Nibijiang Abdureheman;Cao Guangqi;Li Fuxiang;Feng Jian;Guo Xue;Li Rongyuan(Department of Critical Care Medicine,The General Hospital of Western Theater Command PLA,Chengdu 610083,China;Forensic Toxicology Room,Sichuan Dingcheng Forensic Authentication Center,Chengdu 610023,China;Department of Emergency,950 Hospital of PLA,Yecheng 844999,China;Chengdu Sifang Weiye Software Co.,LTD.,Chengdu 610083,China;Department of Anesthesia and Pain,The General Hospital of Western Theater Command PLA,Chengdu 610083,China)

机构地区：[1]西部战区总医院重症医学科,成都610083 [2]四川鼎诚司法鉴定中心法医毒化室,成都610023 [3]中国人民解放军950医院急诊科,叶城844999 [4]成都四方伟业软件股份有限公司,成都610083 [5]西部战区总医院麻醉疼痛科,成都610083

出　　处：《成都医学院学报》2023年第6期783-788,共6页Journal of Chengdu Medical College

基　　金：四川省卫生健康委员会干部保健科研课题(No:川干研2022-1303);西部战区总医院军事医学科研项目(No:2019LH05);西部战区总医院院管课题(No:2021-XZYG-A09)。

摘　　要：目的探讨急性中毒患者的流行病学特征,为急性中毒的社会性预防和临床治疗提供参考。方法采用回顾性研究分析2019年1月1日至2022年12月31日于某中心医院急诊科就诊的所有急性中毒患者的病例资料。利用医院信息化系统统计患者的居住地、性别、年龄、中毒原因、中毒途径、毒物种类及就诊结局等信息。结果意外事件的发生为急性中毒的主要原因(344例,50.51%);有毒气体(一氧化碳、甲烷、有机磷农药气溶胶等)是最常见的中毒种类(352例,51.69%);急性中毒患者经治疗后总存活率为77.39%,死亡或放弃治疗率为22.61%。结论急诊中毒患者中,青年是高发人群,且中毒原因多为自杀。可针对该地区急性中毒流行病学特点,制定有效应对策略,减轻社会健康负担。Objective To analyze the epidemiological characteristics of acute poisoning,and to provide reference for social prevention and clinical treatment of acute poisoning.Methods A retrospective study was conducted to analyze the data of all patients with acute poisoning who were treated in the emergency department of a central hospital from January 1,2019 to December 31,2022.The information system of the hospital was used to make statistics on the patient's residence,gender,age,poisoning cause,poisoning route,poison type and treatment outcome.Results A total of 681 patients were included in this study.The occurrence of accidents was the main cause of acute poisoning(344 cases,50.51%).Toxic gases(carbon monoxide,methane,organophosphorus pesticide aerosol,etc.)were the most common types of poisons(352 cases,51.69%).After treatment,77.39%of the acute poisoning patients survived,and 22.61%died or gave up treatment.Conclusion Young people are the high-risk group among the patients with acute poisoning,and suicide attempt is the main cause of their acute poisoning.Effective coping strategies can be formulated according to the epidemiological characteristics of acute poisoning in this area to reduce the social health burden.

关 键 词：急性中毒 自杀 意外 社会健康 

分 类 号：R595[医药卫生—内科学]