CAJ | 학술논문

目的分析渔民鱼舱内硫化氢等混合气体急性中毒相关因素,探讨进行针对性早期干预的效果.方法 2005年2月至2010年11月收治的经过早期干预的硫化氢等混合气体急性中毒的渔民患者共116例(干预组),将其年龄、中毒时间、是否集体中毒、急性中毒预防及中毒后自救知识掌握情况、接触毒物时间、中毒至接诊时间、住院天数及转归情况进行统计分析.同时将2002年1月至2005年1月没有进行早期干预的132例硫化氢等混合气体急性中毒的渔民患者作为对照组.并对2组中毒情况和治疗效果进行比较.结果干预组经治疗清醒时间为(4.13±1.57)h,高压氧治疗(5.37±2.54)次,平均住院日1～8(2.6±3.4)d.对照组经治疗清醒时间为(7.25±1.30)h,高压氧治疗(11.21±3.75)次,平均住院日3～15(6.1±3.5)d.2组比较差异有统计学意义(P＜0.05).结论渔民对鱼舱内硫化氢等混合气体急性中毒的预防及自我救助知识缺乏,气候炎热、鱼舱通风不良是发生鱼舱内硫化氢等混合气体急性中毒的主要原因.通过早期干预,提高了治愈率,显著缩短了平均住院日.
목적 분석어민어창내류화경등혼합기체급성중독상관인소,탐토진행침대성조기간예적효과.방법 2005년2월지2010년11월수치적경과조기간예적류화경등혼합기체급성중독적어민환자공116례(간예조),장기년령、중독시간、시부집체중독、급성중독예방급중독후자구지식장악정황、접촉독물시간、중독지접진시간、주원천수급전귀정황진행통계분석.동시장2002년1월지2005년1월몰유진행조기간예적132례류화경등혼합기체급성중독적어민환자작위대조조.병대2조중독정황화치료효과진행비교.결과 간예조경치료청성시간위(4.13±1.57)h,고압양치료(5.37±2.54)차,평균주원일1～8(2.6±3.4)d.대조조경치료청성시간위(7.25±1.30)h,고압양치료(11.21±3.75)차,평균주원일3～15(6.1±3.5)d.2조비교차이유통계학의의(P＜0.05).결론 어민대어창내류화경등혼합기체급성중독적예방급자아구조지식결핍,기후염열、어창통풍불량시발생어창내류화경등혼합기체급성중독적주요원인.통과조기간예,제고료치유솔,현저축단료평균주원일.
Objective To analyze related factors of acute intoxication of fishermen induced by hydrogen sulfide gas mixture in the fish tank, so as to make early intervention accordingly, reduce incidence,mortality and shorten average hospitalization days, and increase cure rate. Methods One hundred and sixteen cases (the intervention group) of acute intoxication induced by hydrogen sulfide gas mixture in the fish tank were admitted into the hospital for treatment from February, 2005 to November, 2010. Statistical analyses were made on the age of victims, intoxication time, knowledge on the prevention of acute intoxication by hydrogen sulfide gas mixture, knowledge of self- aid following intoxication, exposure time, the time from intoxication to treatment, hospitalization days and prognosis. One huudred and thirty - two cases of acute hydrogen sulfide gas mixture intoxication of fishermen admitted into the hospital without early intervention from January, 2002 to January, 2005, were used as the control group. Results The age of the 116 patients was from 18 to 57 years old, with an average of 28. 3 ± 3.9. Incidents of intoxication mainly occur from August to November every year. Statistical analyses indicated that 45 cases ( 38. 7% ) lacked in prevention and self - aid knowledge.Sixteen were collective intoxication cases (34. 5% ), with exposure time being 10- 60 ( 21.7 ± 5.5 ) min, and the time interval from intoxication to clinical treatment being 0. 3 h-5.0 h [ ( 1.5 ± 0. 2) h on the average].Conscience recovery time of the patients in the intervention group was (4. 13 ± 1. 57 ) h, following HBO treatment. The number of HBO treatment was 5. 37 ± 2. 54 and average hospitalization days were 1-8 (2. 6 ±3.4). Treatment results of the control group showed that conscience recovery time of the patients in the control group was (7. 25 ± 1. 30) h, following HBO treatment. The number of HBO treatment was 11.21 ± 3.75 and average hospitalization days were 3-15 (6. 1 ± 3. 5 ). And significant statistical differences could be noted,when comparisons were made between the two groups (P ＜ 0. 05 ). Conclusions Most fishermen were lacking in the knowledge on the prevention and self-aid of acute intoxication by hydrogen sulfide gas mixture. Hot weather and poor ventilation in the fish tank were the main causes of acute intoxication. Early intervention could increase cure rate and shorten average hospitalization days considerably.