儿童,急性中毒,临床特点,预防," /> 儿童,急性中毒,临床特点,预防,"/> Children,Acute poisoning,Clinical features,Prevention,"/> <span style="font-size:14px;">89例儿童中毒的临床研究</span>
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发育医学电子杂志  2017, Vol. 5 Issue (2): 102-104    
  生长发育   临床经验交流 |
89例儿童中毒的临床研究
牛焕红
第四军医大学第一附属医院西京医院 儿科,陕西 西安 710032
Clinical study for 89 cases of children poisoning
NIU Huan-hong
Department of Pediatrics, Xijing Hospital, the First Affi liated Hospital of the Fourth Military Medical University, Shanxi, Xi'an 710032, China
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摘要 目的 分析儿童中毒的原因及预后,探讨预防措施,为临床诊治提供参考。 法 2012年1月至2016年3月,第四军医大学第一附属医院西京医院儿科共收治中毒患儿89例,男性49例,女性40例。回顾性分析89例患儿的年龄分布、中毒物品种类、中毒原因、就诊时机、治疗及转归。结果 89例患儿中,以1~6岁的患儿为主,其中1~3岁患儿占40.4%(36/89),3~6岁患儿占34.8%(31/89)。以药物中毒最常见,其中西药中毒占43.8%(39/89),中药中毒占14.6%(13/89)。中毒原因包括患儿误服(22.5%,20/89)、服药过量(29.2%,26/89)、家长缺乏常识(30.3%,27/89)、青少年有意服用有毒物品(6.7%,6/89)、医源性药物使用不当(11.2%,10/89)。经过洗胃、补液、利尿、改善代谢等治疗,危重患儿给予连续肾脏替代治疗,治愈或好转83例(93.3%,83/89),死亡6例(6.7%,6/89)。 结论 中毒对儿童危害较大,严重时可导致死亡,应加强防范。
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关键词:  儿童')" href="#">">儿童  急性中毒  临床特点  预防    
Abstract: Objective To analyze the causes and prognosis of children poisoning, and to explore the preventive measures, so as to provide reference for clinical diagnosis and treatment. Methods From January 2012 to March 2016, 89 children with poisoning were admitted to the pediatric department of Xijing Hospital, the First Affiliated Hospital of the Fourth Military Medical University. There were 49 males and 40 females. The age distribution, the type of poisoning, the reason of poisoning, the time of treatment, the treatment and the outcomes were analyzed retrospectively. Results Among the 89 cases, most cases were 1-6 years old. 1-3 years old children accounted for 40.4% (36/89), and 3-6 years old children accounted for 34.8% (31/89). The most common toxic substance was drug poisoning. Western medicine poisoning accounted for 43.8%(39/89), and Chinese native medicine poisoning accounted for 14.6%(13/89). The poisoning reasons included misuse (22.5%, 20/89), drug overdose (29.2%, 26/89), lack of common sense by parents (30.3%, 27/89), toxic substances used on purpose by youth (6.7%, 6/89), and improper use of iatrogenic drugs (11.2%, 10/89). Gastric lavage, rehydration, diuresis and improvement of metabolism were performed. Continuous renal replacement therapy were performed for critically ill children. 83 cases were cured or improved (93.3%, 83/89), and 6 cases died (6.7%, 6/89). Conclusions Poisoning is harmful to children. Severe cases could lead to death. Prevention measures should be strengthened.
Key words:  line-height:2    Children')" href="#">">Children    Acute poisoning    Clinical features    Prevention
收稿日期:  2016-11-08                出版日期:  2017-04-30      发布日期:  2018-01-17      期的出版日期:  2017-04-30
通讯作者:  牛焕红    E-mail:  moonhear2004@163.com
引用本文:    
牛焕红. 89例儿童中毒的临床研究[J]. 发育医学电子杂志, 2017, 5(2): 102-104.
NIU Huan-hong. Clinical study for 89 cases of children poisoning. Journal of Developmental Medicine(Electronic Version), 2017, 5(2): 102-104.
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