中毒患者急诊临床表现及死亡的相关因素分析

Clinical manifestations of acute intoxication in emergency department and analysis on related factors of poisoned death

目的了解中毒患者急诊临床表现,为中毒患者急诊治疗、降低死亡率提供依据。方法将我院2012年6月-2014年6月204例急诊中毒患者作为研究对象,对其临床资料进行分析。结果急诊中毒患者主要发生于青壮年,且农村人群中毒发生率显著高于城市人群(P<0.05),从事农业劳动为中毒发生率最高的职业(37.8%)。意外事故为发生急诊中毒事件的主要原因(73.0%),化学品中毒是引起中毒的主要毒性物质(55.9%),且中毒事件多发生于家中(76.0%),并具有一定的季节性。年龄、农药以及毒品是导致中毒患者急诊治疗死亡的主要影响因素。结论通过对中毒患者急诊临床表现及死亡的相关因素分析研究,有助于更有效的应对中毒患者的急诊事件,并且提高患者存活率。

Objective To provide basis for emergency treatment on patients with poisoning and reduce the mortality by understanding the clinical manifestation of the poisoning patients in emergency department. Methods 204 emergency patients with poisoning in our hospital from June 2012 to June 2014 were studied. Results The emergency patients with poisoning were mainly young adults. The poisoning occurrence rate in rural areas was significantly higher than that in urban areas（ P〈0. 05）.The highest incidence of poisoning occurred in the occupation engaged in agricultural labor（ 37. 8%）. The main reason for the accidents of poisoning was incidents（ 73. 0%）. Chemical poison was the main toxic substance causing poisoning（ 55. 9%）.Poisoning events almost exclusively happened at home（ 76. 0%）,and influenced by seasons. Age,pesticides and drugs were the main influencing factors that caused deaths of poisoning patients. Conclusion Analysis of clinical manifestations of poisoning patients in emergency department and studying related factors of poisoned death may contribute to coping with emergency incidence of poisoning and to improving the survival rate.