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目的探讨广西急性中毒防控救援现状和对策。方法本研究通过对广西地区11个市的63家市、县、乡医院的急性中毒资料进行调查,在新理念的指导下,对资料进行系统性分析。结果广西中毒人群以就业人群中毒发病4 138例(68.84%);中毒地点以在家中中毒最多,4 774例(79.54%);中毒途径中,经口中毒4 261例(70.92%),农药类毒物中毒2 547例(42.41%),化学类毒物中毒1 064例(17.72%),医药类毒物中毒948例(15.79%)。在农村,自杀性中毒1 436例(39.07%),意外性中毒1 149例(31.27%)。城镇中,意外性中毒1 124例(52.23%),误食性中毒450例(20.91%)。散发性中毒5 369例(89.33%),群发性中毒641例(10.67%)。在6 011例中毒者中,市医院2 113例(35.15%),县医院3 340例(55.57%),乡医院558例(9.28%)。结论根据急性中毒六方面的特点,提出广西急性中毒防控救援方案的“防救管三合一”理念,提高广西急性中毒救援能力。
Objective To explore the status quo and countermeasures of prevention and control of acute poisoning in Guangxi. Methods In this study, 63 municipal, county and township hospitals in 11 cities in Guangxi were investigated for acute poisoning. Under the guidance of new ideas, the data were systematically analyzed. Results There were 4,138 (68.84%) cases of poisoning in the working population in Guangxi. Among the poisoning spots, 4,774 (79.54%) were the most poisoned people in the home. 4,261 (70.92%) were oral poisonings, There were 2 547 cases (42.41%) of toxic poisoning, 1 064 cases (17.72%) of chemical poisons poisoning and 948 cases (15.79%) poisoning of medicinal poisons. In rural areas, 1 436 (39.07%) were suicide poisonings and 1 149 (31.27%) were accidental poisonings. In urban areas, 124 cases (52.23%) were accidental poisoning and 450 (20.91%) were accidental poisoning. There were 5 369 cases (89.33%) of sporadic poisonings and 641 cases (10.67%) of mass poisonings. Among the 6 011 poisoning cases, 2 113 (35.15%) were in municipal hospitals, 3340 (55.57%) in county hospitals and 558 (9.28%) in township hospitals. Conclusion According to the characteristics of acute poisoning, the idea of “three in one prevention” was put forward to improve the acute poisoning rescue ability in Guangxi.