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目的:总结急性有机磷农药中毒患者的资料,为有机磷农药中毒防治提供临床依据。方法:回顾性分析2009年1月至2012年12月我院收治的有机磷农药中毒患者的临床资料,分析患者年龄、性别、职业、发生时间、中毒原因、中毒途径、诊治情况等。结果:有机磷农药中毒以中年人常见,女性偏多,农民为主,中毒者受教育水平低,每年6、7月份为发病高峰期,有机磷农药中毒有意中毒115例(79.9%);最常见中毒农药为甲胺磷,呼吸衰竭36例(25.0%),死亡4例(2.8%)。结论:受教育水平低的中年农民是有机磷农药中毒主要人群;有意中毒占绝对多数,重度中毒常见,易导致呼吸衰竭,应积极救治,并加强有机磷农药的管理,开展相关的健康教育及心理干预。
Objective: To summarize the data of patients with acute organophosphorus pesticide poisoning and provide the clinical evidence for the prevention and control of organophosphorus pesticide poisoning. Methods: The clinical data of patients with organophosphate pesticide poisoning admitted in our hospital from January 2009 to December 2012 were retrospectively analyzed. The age, sex, occupation, time of occurrence, causes of poisoning, pathways of poisoning, diagnosis and treatment were analyzed. Results: Organophosphorus pesticide poisoning was common among middle age, female and peasants. The education level of poisoning persons was low. Each year was the peak of incidence in June and July. There were 115 cases (79.9%) of intentional organophosphate pesticide poisoning. The most common poisoning pesticide was methamidophos, respiratory failure in 36 cases (25.0%), death in 4 cases (2.8%). Conclusion: Middle-aged peasants with low level of education are the major population of organophosphorus pesticide poisoning; the majority of intentional poisoning is poisonous, severe poisoning is common, respiratory failure is likely to occur, and should be actively treated, and the management of organophosphorus pesticides should be strengthened, and related health education should be carried out And psychological intervention.