CAJ | 학술논문

目的分析依托型急救中心急诊内科收治的急性药物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年在福建省立医院急救中心内科就诊的各类急性药物中毒患者的性别、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进行分析.结果共收治急性药物中毒患者744例,男女比例为1:4.2,平均33.0岁,其中18～29岁年龄组占50.3％；所有中毒例数以春季(4～6月)最多；88.3％故意服药导致急性药物中毒；中毒药物类别中首位为中枢神经系统药物(71.9％),其中镇静安眠药为主(64.9％)；根据病情严重度分为轻度(51.5％)、中度(33.2％)和重度(15.3％)；37.0％患者经急救处理后离院随诊观察,需要住院者占28.3％,无死亡病例.结论 1.城市急性药物中毒以中枢镇静安眠药为著；2.对急性药物中毒进行合理病情分级和分级处理,有助于提高急救成功率并降低医疗成本.
목적 분석의탁형급구중심급진내과수치적급성약물중독환자적류행병학여급구특점.방법 채용회고성연구방법,대2004 ～ 2009년재복건성립의원급구중심내과취진적각류급성약물중독환자적성별、년령、중독원인、충류、독물명칭、입침도경、급진진단、급구처치、거향급전귀등진행등기병진행분석.결과 공수치급성약물중독환자744례,남녀비례위1:4.2,평균33.0세,기중18～29세년령조점50.3％；소유중독례수이춘계(4～6월)최다；88.3％고의복약도치급성약물중독；중독약물유별중수위위중추신경계통약물(71.9％),기중진정안면약위주(64.9％)；근거병정엄중도분위경도(51.5％)、중도(33.2％)화중도(15.3％)；37.0％환자경급구처리후리원수진관찰,수요주원자점28.3％,무사망병례.결론 1.성시급성약물중독이중추진정안면약위저；2.대급성약물중독진행합리병정분급화분급처리,유조우제고급구성공솔병강저의료성본.
Objective To study the characteristics of epidemiology among the emergency patients with acute drugs poisoning in emergency center of Fujian Province.Methods Retrospective study was used to collect data of patients with acute drugs poisoning from 2004 to 2009,and data of patients 'gender,age,cause of poisoning,poison type,emergency diagnosis,medical treatment,etc.were analyzed.Results The epidemiological reports of 744 cases of acute drugs poisoning patients were collcected from 2004 to 2009,the male-to-female ratio was 1:4.2,the average age was 33.0,high incidence group was at ages 18 ～29 (50.3％ ).The most visiting time was in Spring (April to June).Eighty-eight point three percentage of poisoning was intentional.Central nervous system drugs,in particular sedative/hypnotic drugs (64.5％ )was the most common agents associated with poisoning.The poisoned patients were divided into three groups with mild ( 51.5％ ),moderate ( 33.2％ ) and severe ( 15.3％ ) according to the patient' s condition.Thirty-seven percentage poisoned patients were discharged after treatment followed up for observation,and 28.3％ patients were hospitalized,no patients died.Conclusions The majority of acute drugs poisoning among patients from city were sedative/hypnotic drugs.Reasonable grading and different treatment according to the condition of acute drugs poisoning would be helpful to improve the survival rates of acute poisoning and reduce medical costs.