96例PICU收治的儿童急性药物中毒临床特点分析  

Clinical Characteristics Analysis of 96 Children with Acute Drug Poisoning in PICU

作　　者：朱利华 罗庆 Zhu Lihua;Luo Qing(不详;Department of Medical Record,Shanghai Children's Medical Center Affiliated to the Medical College of Shanghai Jiaotong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心病案室,上海市200127 [2]海南省妇女儿童医学中心科研科,海南省海口市570206

出　　处：《中国病案》2024年第8期91-93,共3页Chinese Medical Record

摘　　要：目的分析上海市某三甲儿童重症监护室(PICU)收治的急性药物中毒患儿特点和原因,探讨相应的预防措施。方法对某院PICU 2013年7月1日至2023年6月30日收治的96例急性药物中毒患儿年龄、性别、发病年月、中毒药物类型及构成、中毒原因等临床资料进行回顾性分析。结果在收治的所有急性药物中毒患儿中,近5年药物中毒事件发生率有明显逐年上升趋势。在96例患儿中,男孩18例(18.75%),女孩78例(81.25%),男女性别比例为1:4.33。发病年龄以13岁~18岁组发生最多,为67例,占69.79%。中毒药物种类以精神类药物(67.71%)为主。中毒原因主要为服药自杀(86.46%),有83例,且多为7岁至18岁女性患儿。其中50.60%患儿有抑郁症病史。结论近年儿童急性药物中毒发生呈上升趋势。以青少年女性患儿多见,最常见原因为药物自杀。社会和家庭应特别关注该年龄段儿童身心健康,做好心理疏导和治疗,并加强防范。Objective To analyze the characteristics and causes of acute drug poisoning in children intensive care unit(PICU)at a Three A and Tertiary Hospital in Shanghai,and explore corresponding preventive measures.Methods A retrospective analysis was conducted on the clinical data of 96 children with acute drug poisoning admitted to the PICU from July 1st,2013 to June 30th,2023,including age,gender,date of onset,type and proportion of poisoning,and causes of poisoning.Results The incidence of drug poisoning events in children with acute drug poisoning admitted had shown a significant upward trend in the past 5 years(July 1st,2018 to June 30th,2023).Among the 96 pediatric patients,there were 18 males(18.75%)and 78 females(81.25%),with a gender ratio of 1:4.33.The age group of 13 to 18 years old had the highest incidence of the disease,with 67 cases accounting for 69.79%.The main types of toxic drugs were psychotropic drugs(67.71%).The main cause of poisoning was medication suicide(86.46%),with 83 cases,mostly female patients aged 7 to 18.Among them,50.60%of patients had a history of depression.Conclusions In recent years,the incidence of acute drug poisoning in children had been on the rise.Adolescent female children were more common,with drug suicide being the most common cause.Society and families should pay special attention to the physical and mental health of children in this age group,provide psychological counseling and treatment,and strengthen prevention.

关 键 词：儿童 急性药物中毒 重症监护室:预防 

分 类 号：R725.9[医药卫生—儿科]