中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
CHINESE JOURNAL OF EMERGENCY MEDICINE
2010年
11期
1137-1139
,共3页
陈锋%温俊平%王晓萍%林庆明%林才经
陳鋒%溫俊平%王曉萍%林慶明%林纔經
진봉%온준평%왕효평%림경명%림재경
依托型急救中心%管理模式%绿色通道%急性中毒%流行病学%急救%特点%回顾性研究
依託型急救中心%管理模式%綠色通道%急性中毒%流行病學%急救%特點%迴顧性研究
의탁형급구중심%관리모식%록색통도%급성중독%류행병학%급구%특점%회고성연구
Hospital-affiliated emergency center%Management model%Green channel%Acute poisoning%Epidemiology,emergency care
目的 研究依托型急救中心急诊内科收治急性中毒患者的流行病学与急救特点.方法 采用回顾性研究方法,对2004-2009年在福建省急救中心内科就诊的各类急性中毒患者的性别、年龄、中毒原因、种类、毒物名称、入侵途径、急诊诊断、急救处置、去向及转归等,进行登记并分析.结果 共收治急性中毒患者2867例,男女比例为1∶1.04,平均33.8岁,其中18～40岁年龄组占76.39%.所有中毒例数以1月份最多,占全部11.33%;中毒类别位居前四位的依次是酒精中毒(54.55%),药物中毒(25.95%),农药中毒(5.65%),毒品中毒(4.88%);毒品中毒大部分为年龄≤25岁(56.44%),平均年龄为28.2岁,明显低于药物中毒和酒精中毒(P＜0.01);69.54%患者经急救处理后离院随诊观察,需要住院者占30.39%,仅4例发生死亡.结论 城市急性中毒以酒精和药物为著;依托型急救中心模式中"院前急救-急诊科-院内救治"的急救绿色通道,对于提高急性中毒的抢救成功率和成活率具有重要意义.
目的 研究依託型急救中心急診內科收治急性中毒患者的流行病學與急救特點.方法 採用迴顧性研究方法,對2004-2009年在福建省急救中心內科就診的各類急性中毒患者的性彆、年齡、中毒原因、種類、毒物名稱、入侵途徑、急診診斷、急救處置、去嚮及轉歸等,進行登記併分析.結果 共收治急性中毒患者2867例,男女比例為1∶1.04,平均33.8歲,其中18～40歲年齡組佔76.39%.所有中毒例數以1月份最多,佔全部11.33%;中毒類彆位居前四位的依次是酒精中毒(54.55%),藥物中毒(25.95%),農藥中毒(5.65%),毒品中毒(4.88%);毒品中毒大部分為年齡≤25歲(56.44%),平均年齡為28.2歲,明顯低于藥物中毒和酒精中毒(P＜0.01);69.54%患者經急救處理後離院隨診觀察,需要住院者佔30.39%,僅4例髮生死亡.結論 城市急性中毒以酒精和藥物為著;依託型急救中心模式中"院前急救-急診科-院內救治"的急救綠色通道,對于提高急性中毒的搶救成功率和成活率具有重要意義.
목적 연구의탁형급구중심급진내과수치급성중독환자적류행병학여급구특점.방법 채용회고성연구방법,대2004-2009년재복건성급구중심내과취진적각류급성중독환자적성별、년령、중독원인、충류、독물명칭、입침도경、급진진단、급구처치、거향급전귀등,진행등기병분석.결과 공수치급성중독환자2867례,남녀비례위1∶1.04,평균33.8세,기중18～40세년령조점76.39%.소유중독례수이1월빈최다,점전부11.33%;중독유별위거전사위적의차시주정중독(54.55%),약물중독(25.95%),농약중독(5.65%),독품중독(4.88%);독품중독대부분위년령≤25세(56.44%),평균년령위28.2세,명현저우약물중독화주정중독(P＜0.01);69.54%환자경급구처리후리원수진관찰,수요주원자점30.39%,부4례발생사망.결론 성시급성중독이주정화약물위저;의탁형급구중심모식중"원전급구-급진과-원내구치"적급구록색통도,대우제고급성중독적창구성공솔화성활솔구유중요의의.
Objective Acute poisoning is frequently encountered at emergency department. This study was to investigate the epidemiology and characteristics of patients with acute poisoning who were treated at the Emergency Center, Fujian Provincial Hospital, China. Method We retrospectively analyzed the gender, age, causes of poisoning, types of poisons, poisoning route, emergency diagnoses, outcomes, and prognoses of these patients.Results Altogether 2867 patients with acute poisoning were treated from January 2004 to December 2009. The ratween 18 and 40 years old. The incidence of acute poisoning was as high as 11.33% in January each year. The incidence of poisoning was in a descending order: alcohol poisoning (54.55%), medication poisoning (25.95%), pesticide poisoning (5.65%), and drug poisoning (4.88%). Most (56.44%) of the patients with drug poisoning were under 25 years and their mean age was significantly lower than that of patients with medication poisoning or alcohol poisoning ( P ＜ 0.01 ). Approximately 69.54% of the patients were followed up after emergency treatment, 30.39% were hospitalized, and four patients died. Conclusions Acute poisoning is largely alcohol poisoning and medication poisoning in a city. The emergency green channel "pre-hospital emergency care-emergency department-hospital treatment" can significantly improve the survival rate of patients with acute poisoning.
