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目的调查社区幼儿园内杀鼠药中毒的发生因素,提高对急性杀鼠药中毒的认识,提出预防措施,完善抢救措施,防止类似事件的再发生。方法对中毒患者进行调查,对中毒现场环境的调查以及患者的血样及排泄物进行检测,应用综合救治措施。结果就诊13例平均年龄(3.5±1.0)岁,急诊留观5例,发病患者8例,住院患儿8例,确诊溴敌隆中毒8例,所有患儿均治愈出院。结论强调加强幼儿监管,加强杀鼠药和环境卫生管理,加强社区全科医师急诊急救知识的培训。
Objective To investigate the factors that cause kills poisoning in community kindergartens and to raise awareness of acute poisoning. To put forward preventive measures and improve the rescue measures to prevent the recurrence of similar events. Methods To investigate the poisoned patients, to investigate the poisoning site environment and the blood samples and excretion of the patients, and to apply the comprehensive treatment measures. Results The mean age of 13 cases (3.5 ± 1.0) years old, 5 cases of emergency observation, 8 cases of onset, 8 cases of hospitalization, and 8 cases of bromadiolone were confirmed. All children were cured and discharged. Conclusions Emphasis was placed on training children in child-care supervision, management of anti-rodent drugs and sanitation, and strengthening community general practitioners’ emergency and first aid knowledge.