| Objectives:By retrospective analysis clinical data of all acute poisoning patients in emergency department second affiliated hospital of Kunming Medical University's from January 2016 to December 2017,to understand and master the clinical features and regularity of acute poisoning in the westen of Kunming City,to provide scientific evidence for the development of corresponding preventive measures and first aid programs,In order to improve the ability to control and cure poisoning.Methods:To collect the clinical data of all acute poisoning patients from January 2016 to December 2017 to the second affiliated Hospital of Kunming Medical University;Collection of patients' social demographic data using self-made epidemiological survey of acute poisoning patients;To analyze the sex,age,occupation,type of poison,poisoning pathway,poisoning reason,first visit time and the prognosis of acute poisoning patients in the western of Kunming city;Using SPSS 23.0 software to statistical analysis of the data collected,The counting data is expressed by the example number,percentage or rate,the classification variable adopts the Chisquare analysis,With P<0.5 as a statistically significant.Results:A total of 4265 cases of acute poisoning were collected in this study,1.45:1(2528/1735)for male and female,the number of male was more than femal(P<0.05),More male than female with alcoholism(P<0.05),Non-alcoholism patients are predominantly female(P<0.05);high incidence group was at ages of the youth group(18-40 years old),2576 cases,accounted for 60.39%;middle-aged group(41-65 years old),1219 cases,accounting for 28.58%,the next group were patients>66 years old(331,7.76%),minimum group were patients 15-17years old(139,3.25%)(P<0.05);The first three poisoning pathways were digestive tract(4059,95.17%),respiratory tract(176,4.13%),skin(15,0.35%);The cause of poisoning in the first place is from clothing,(3568,83.65%),followed by suicide accounted for the total number of poisoning 452 cases(10.60%),accidents(209,4.9%),occupational exposure(36,0.84%)(P<0.05);The top occupations from high to low were the workers(3232,75.78%),peasants(544,12.75%),cadres(191,4.48%),other occupation(175,4.11%);The visit time was mainly distributed in 21:00-2:00,total 2463 cases(56.74%);Poisoning month was mainly distributed in 1,6,7,8,11,12,a total of 2645 cases,accounting for 62%of the year;The first five toxic types were alcoholism(2313,54.23%),mushroom poisoning(952,22.32%),drug poisoning(325,7.62%),pesticide poisoning(220,5.16%)and carbon monoxide poisoning(131,3.01%);Carbon monoxide(CO)poisoning mainly occurs in spring and winter,pesticide poisoning mainly occurs in summer and autumn,and the main poisoning occurs in autumn and winter season;The cure rate of acute intoxication was 98.82%(4215/4265),the death rate was 0.6%(26/4265),and automatic discharged patients 0.8%(34/4265);The mortality rate of pesticide poisoning was highest,which accounted for 42.3%of the total number of deaths,followed by mushroom poisoning(30.76%)and aconitine poisoning(accounting for 15.38%).Conclusions:Acute poisoning in male more than female,among alcohol poisoning patients with male-dominated,female patients with drug poisoning,pesticide poisoning,such as the incidence of more high.Acute poisoning in the population mainly distributed in young and middle-aged,the occupation is mainly distributed in the labor capacity,lower education of workers,farmers,the age group for the main family,under pressure to produce suicidal thoughts,timely psychological guidance can reduce the occurrence of acute poisoning.The type of toxicant is mainly alcoholism,so we should actively promote the correct alcohol consumption and reduce the incidence of alcoholism.Poisoning pathway is mainly through digestive tract poisoning,followed by the respiratory tract,medical staff should focus on the digestive tract poisoning,respiratory poisoning patients treatment methods.The cause of poisoning is mainly from the clothes,teaching the crowd correct,appropriate amount of alcohol,aconitine,mushroom,kidney beans,white flowers and other food,to reduce the improper use caused by poisoning patients with important significance.The incidence of CO poisoning,mushroom poisoning,kidney bean poisoning,pesticide poisoning and so on has obvious seasonal distribution characteristics,and the corresponding precaution measures should be done in the peak period of different poisons,which can effectively reduce the incidence of acute poisoning and improve the cure rate of patients.Acute poisoning patients mainly distributed in the summer(6?7?8 month),Winter(11,12,1 month),the main distribution of visits in 21:00-02:00,the time period can be equipped with adequate medical personnel,adequate detoxification medicine,equipment,to ensure that all rescue facilities operate normally.The illness turns to cure mainly. |
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