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目的:通过口服有机磷自杀中毒者的病因、中毒情况及临床转归的分析,为采取干预措施提供依据。方法:选择莱州市急性有机磷自杀中毒(AOPP)高发区的6家县、乡镇中心卫生院为定点医院,观察口服有机磷农药中毒病例。结果:410例自杀者以青壮年为主,73.66%因家庭或与他人纠纷,口服毒性较高的有机磷或有机磷混配杀虫剂中毒。中重度中毒占89%。随着中毒程度加深,救治用药和住院天数也成倍增加。结论:口服农药中毒是重要的社会问题,应该加强社会干预,提高对农药中毒的救治水平,减少因服毒自杀造成的死亡。
OBJECTIVE: To provide the basis for the intervention through the analysis of the etiology, poisoning and clinical outcome of oral organophosphate poisoning. Methods: Six counties with high incidence of acute organic phosphorus suicide poisoning (AOPP) in Laizhou City were selected. The township hospital center was designated as a designated hospital and observed cases of oral organophosphorus pesticide poisoning. Results: 410 suicide victims were young and middle-aged, 73.66% were poisoned by family or others, oral organophosphorus or organophosphorus pesticide with high oral toxicity. Moderate to severe poisoning accounted for 89%. With the deepening of poisoning, treatment and hospitalization days also doubled. Conclusion: Oral pesticide poisoning is an important social issue. Social intervention should be stepped up to improve the treatment of pesticide poisoning and reduce the death caused by poisoning and suicide.