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目的对210例小儿急性中毒进行总结,分析临床特点。方法回顾性分析210例小儿急性中毒的中毒年龄、原因、途径及毒物种类,治疗与转归。结果发病年龄在40 d～14岁之间,1～3岁幼儿发病率最高,占57.6%(121/210),其次4～7岁占24.3%(51/210)。主要中毒原因为误服,毒物以药物为主,占41.9%(88/210),其次是农药38.1%(80/210),仅次于药物。农村发病率为94.3%(198/210)远高于城市,男孩占69.0%(145/210),明显多于女孩。结论210例小儿急性中毒以幼儿、学龄前儿童为主,误服是中毒的主要原因。农村是预防的重点,加强小儿和农药的管理对预防小儿急性中毒有重要的意义。
Objective To summarize 210 children with acute poisoning and analyze the clinical features. Methods A retrospective analysis of 210 cases of children with acute poisoning poisoning age, causes, ways and types of poisoning, treatment and prognosis. Results The age of onset was between 40 and 14 years. The incidence of children aged 1-3 years was the highest, accounting for 57.6% (121/210), followed by 24.3% (41/210) after 4 to 7 years. The main cause of poisoning was misdiagnosis, taking drugs as the main poison, accounting for 41.9% (88/210), followed by pesticide 38.1% (80/210), second only to drugs. The incidence in rural areas was 94.3% (198/210) far higher than in urban areas, with boys accounting for 69.0% (145/210), significantly more than girls. Conclusion 210 children with acute poisoning are mainly toddlers and preschool children, and the main cause of poisoning is mistreatment. Prevention of rural areas is the focus of strengthening the management of children and pesticides to prevent acute poisoning in children is of great significance.