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Epidemiological analysis of poisoning patients in emergency room in a tertiary referral hospital in Nanjing |
Sun Bao-di, Sun Zhao-rui, Yang Zhi-zhou, Zhang Wei, Ren Yi, Chen Xin, Liu Hong-mei, Nie Shi-nan |
Department of Emergency Medicine, Nanjing General Hospital of Nanjing Military Area Command of Chinese PLA, Nanjing 210002, China |
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Abstract Objective To analyze the epidemiological characteristics of poisoning patients in emergency room in a large tertiary hospital in Nanjing, and to provide the basis for guiding the rescue of poisoning patients. Methods This study retrospectively analyzed 446 cases of acute poisoning patients from 2015-01-01 to 2017-06-30 who were admitted to emergency room in our hospital. Gender, age, occupation, educational background, poison type, poisoning mode, poisoning dose, poisoning reason, rescue time, prognosis and prognosis of the patients were collected and analyzed. 〖WTHZ〗Results〓〖WTBZ〗The basic situation: age from 12 years old to 94 years old, mean age (42.23±16.752) years, including 270 cases of male (60.5%), mean age(41.61±16.38)years old, female 176 cases (39.5%), mean age (43.17±17.32) years old, male to female ratio was 1.53∶1.Poisons situation: there were 93 kinds of poisons, including 429 cases of single poisoning (96.20%) and 17 cases of mixed toxicant poisoning (3.80%).The most common type of poison was alcohol in 174 cases (39%). The main route of poisoning was 346 cases of digestive tract poisoning (77.60%). Alcoholism was the most common cause of poisoning (39%).Treatment: 114 cases (32.90%) were treated with gastric lavage, 79 cases (22.80%) were treated with catharsis, and 27 cases (7.80%) were treated with blood purification. Outcome and prognosis: 356 patients (79.80%) were discharged from emergency room, 85 patients (19.10%) were admitted to emergency ward, and 5 patients (1.10%) died in emergency room. Conclusion The epidemiological characteristics of poisoning in emergency room showed that poisoning is mainly middle-aged men, alcoholism is the main type of poisoning. Although the prognosis of alcoholism is good, it suggests that emergency physicians should pay more attention to alcoholism.
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Corresponding Authors:
Nie Shi-nan, E-mail:shn_nie@sina.com
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