The Epidemiological Study Of Acute Poisoning Patients In Tianjin

Objective To understand the epidemiological characteristics of acute poisoning patients in Tianjin,to understand the status quo of acute poisoning patients in Tianjin emergency department,then providing scientific guidance for the development of targeted preventive measures and first aid programs after poisoning.Methods To use retrospective analysis,and collect cases in urban and rural areas in Tianjin during January 2012 to December 2014,including seven tertiary hospitals and three secondary hospital which have the capacity needed for poisoning treatment.Analyzing following information of acute poisoning patients,the changing of the number in 3 years,the gender and age,the diagnosis,the source,the type,the causes,the pathways,the first treatment,the outcomes.Patients with multiple visits would be recorded for once.All data are statistically processed with SPSS 19.0 statistical software package.The counting data were expressed as percentage.The chi-square test was used for comparison in and between groups.Results A total of 7964 effective cases were collected.The number of patients in2012 is 3178,which is 2800 in 2013 and 1986 in 2014.The number of acute poisoning was declining as a whole.Included in the statistical cases,there are 4159 males,3805 females,1.09: 1 for men and women.The peak age of acute poisoning patients was 20~59 years(81.72%).The number of patients admitted to hospital and made a clinical diagnosis based on clinical symptoms and history is 3679,accounting for 46.2%,the number of patients improving the toxicological evidence is 4285,accounting for 53.8%.Most of the patients come from town(66.99%).The number of male alcoholism occupies the first place,there are 2685 people,followed by poisoning,a total of 682 people;the number of women drug intoxication occupies the first place,a total of 2150 people,followed by alcoholism,a total of 745 people.People less than 19,more than 60 years old have largest number with drug poisoning,people between 20 and 59 years old have largest number with alcohol poisoning.CO poisoning happened mainly in spring and winter,pesticide poisoning happened mainly in summer and autumn.Suicide is a major cause of acute poisoning(66.89%),the digestive tract is the most common way of poisoning(79.35%).After patients admitting to hospital,the number of people accept gastric lavage as the first treatment is 4274,accounting for 53.7%,the number is 2333 who using special antidote,accounting for 29.3%,the number is 335 who has used gastric ligation combined with detoxification drugs,accounting for 4.2%,the number is 1022 using blood purification Treatment,accounting for 12.8%.After treating,patients improved take up a number of 6740,accounting for 84.6%,79 patients died,accounting for 1%,mainly in patients with pesticide poisoning death of 60 people,accounting for75.94% and other drug poisoning 11 people,accounting for 13.92%,less CO poisoning and alcoholism deaths,there were 5(6.33%)and 3(3.80%),Lost 235 people,accounting for 3%,patients who have sequelae when taking care of themselves,acounting for 910 people,accounting for 11.4%.Conclusions In this paper,the epidemiological characteristics of acute poisoning in Tianjin were studied objectively.The number of acute poisoning was declining as a whole.Most of the acute poisoning people have the ability to work,more men than women.At present,acute poisoning is mainly based on clinical symptoms and history to make clinical diagnosis.Most of the patients are urban residents.Alcohol and drug poisoning are more common,there is a higher incidence of male alcoholism and female drug poisoning.Children and the elderly are more drug poisoning,while young adults mainly with alcoholism.CO poisoning happened mainly in spring and winter,pesticide poisoning happened mainly in summer and autumn.Suicide is the leading cause of poisoning,the most common way to commit suicide is taking drug and alcoholism.Poisoning by digestive tract are more common.After admission,patients are given gastric lavage,special effects antidote and blood purification and other treatment.The main reason of death was pesticide poisoning and other drug poisoning.