2012-2018年山东省5个监测县(市、区)急性职业中毒住院病例流行特征及其医疗费用分析

Epidemiological characteristics and medical expenses of acute occupational poisoning hospitalization in 5 monitoring counties(cities,districts)of Shandong Province from 2012 to 2018

数据来源于山东省伤害住院监测系统,2012—2018年5个监测县(市、区)共报告意外中毒病例2683例,其中急性职业中毒住院病例164例,占意外中毒的6.11%。急性职业中毒住院病例的年平均报告发病率为1.15/10万;男性(126例)病例数是女性(38例)的3.3倍;主要集中在每年的1—5月份和每天的5—7时;主要由刺激性气体(92例,56.10%)和窒息性气体(53例,32.32%)所致,其中氯气(71例)和一氧化碳(50例)是主要毒物;平均每例急性职业中毒住院医疗费用为7278.81元。

The data were drawn from injury hospitalization surveillance system in Shandong province.From 2012 to 2018,164 cases of acute occupational poisoning were reported from five surveillance counties(cities,districts),accounting for 6.11%(164/2683)of total accidental poisoning cases.The annual average reported incidence of acute occupational poisoning hospitalization was 1.15/100000.The number of male cases was 3.3 times that of females(126 vs 38).The poisoning cases mainly occurred between January to May in a year and 5-7 AM within a day.Those cases were mainly caused by irritating gases(92 cases,56.10%)and asphyxiating gases(53 cases,32.32%),of which chlorine(71 cases)and carbon monoxide(50 cases)were the main reasons.The average hospitalization medical cost of acute occupational poisoning cases was 7278.81 RMB per case.