Poison exposure and outcome of children admitted to a pediatric emergency department
Poison exposure and outcome of children admitted to a pediatric emergency department
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DOI：
10.1007/s12519-011-0267-7
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发表时间：
2011-05-01
影响因子：
8.7
通讯作者：
Wu, Han-Ping
中科院分区：
文献类型：
--
作者：
Lin, Yan-Ren;Wu, Tung-Kung;Wu, Han-Ping
背景资料：本文报告了儿童中毒在急诊科（艾德）治疗的特点，结果和临床特点。方法：本回顾性研究在急诊科包括140名儿童中毒谁是年龄在18岁以下。分析其特点，以了解意外与非意外中毒的区别。将有毒物质分为两大类（药物和非药物），并分析其与患者结局的相关性。结果：青少年和学龄前儿童毒物暴露发生率最高。年龄较大的女孩非意外中毒多见，年龄较小的男孩意外中毒多见（P < 0.001）。神经系统制剂是药物组最常见的中毒原因，清洁产品是非药物组最常见的中毒原因。神经系统和胃肠道症状分别是药物组和非药物组最常见的临床表现。此外，由于清洁产品和止痛剂中毒与住院时间最长有关。3月是儿童中毒的高发月份（P=0.018）。结论：清洁用品和镇痛药与儿童中毒住院时间最长有关，故意中毒多见于女童。世界儿科杂志2011;7（2）：143-149
Background: This paper reports the characteristics, outcomes and clinical features of children with poisoning treated at an emergency department (ED).Methods: This retrospective study at an emergency department consisted of 140 children with poison exposure who were aged under 18 years. Their characteristics were analyzed in order to understand the differences between accidental and non-accidental poisoning. The poisonous materials were divided into two major categories (pharmaceuticals and non-pharmaceuticals) and their associations with patient outcomes were analyzed. Furthermore, the association was analyzed between the incidence of poison exposure and the season in which the poison exposure occurred.Results: The incidence of poison exposure was highest among adolescents and pre-school age children. Non-accidental poisoning was more common in older girls and accidental poisoning was more common in younger boys (P < 0.001). Neurological system agents were the most common cause of poisoning in the pharmaceutical group and cleansing products were the most common cause of poisoning in the non-pharmaceutical group. Neurological and gastrointestinal symptoms were the most common clinical presentations for the pharmaceutical and non-pharmaceutical groups, respectively. Furthermore, poisoning due to cleansing products and analgesics were associated with the longest duration of hospitalization. March was the highest risk month for pediatric poisoning (P=0.018).Conclusions: Cleansing products and analgesics were associated with the longest duration of hospitalization and intentional poison was more common in girls. World J Pediatr 2011;7(2):143-149