Epidemiological And Clinical Analysis Of Adult Acute Poisoning In Jingjiang

Objective: Through the analysis of our hospital clinical data of969cases of adultacute poisoning，to study the epidemiological features and poisoning treatment analysis，understand and grasp the clinical characteristics and pathogenesis of acute poisoning casesin our hospital，better improve the rescue success rate of acute poisoning， provide thebasis for clinical prevention and treatment of acute poisoning.Methods: to collect jingjiang city people’s hospital between January2003andJanuary2013in hospital information full adult acute poisoning cases, investigating thegender, age, poison type and distribution, the number of patients, way of poisoning,poisoning cause, PSS score on admission, make a diagnosis and give treatment method andprognosis of treatment and so on data description, analysis and statistics.Results:1141cases of adult patients with acute poisoning more women than men, theage of poisoning mainly concentrated in the20to59, suicide, primarily in the oral intake,poison type with pesticide most, followed by alcohol, the victim is given priority to withshort-term in the hospital. Acute poisoning is still mainly based on the history of diagnosis,laboratory examination has guiding significance to the partial poisoning diagnosis, thereare indications of poisoning support special antidote and symptomatic treatment, patientswith gastric lavage in oral poisoning processing occupies a very important position, gastriclavage in patients with severe cases need to be careful. Acute poisoning death rate4.82%,with paraquat and aluminium phosphide two kinds of pesticide rates are highest, need tostrengthen the comprehensive treatment, cholinesterase can reflect the severity ofpoisoning, but relations with illness is not parallel, PSS score can reflect the severity ofpoisoning, simple and convenient, can fast accurate judge of acute poisoning.Conclusion:1.Our hospital patients with adult acute poisoning epidemiologicalcharacteristics of its own.2.In our hospital in patients with acute poisoning in adults, more women than men,the age of the poisoning mainly concentrated in the20to59, suicide, primarily in the oral intake, poison type with pesticide most, followed by sedative-hypnotic drugsand alcohol, the victim is given priority to with short-term in the hospital.3.The history of acute poisoning is still the main basis for diagnosis, laboratoryexamination has guiding significance to the partial poisoning diagnosis, strengthening thepoison appraisal can assist in making the diagnosis.4.Gastric lavage in oral poisoning processing occupies a very important position,gastric lavage in patients with severe cases need to be careful.5.High mortality of acute poisoning, especially two pesticide paraquat and aluminiumphosphide, need to strengthen the comprehensive treatment.6.Cholinesterase can reflect the severity of poisoning, but relations with illness is notparallel, PSS score can reflect the severity of poisoning, simple, convenient and fastaccurate judge of acute poisoning.