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目的通过对宜宾市第二人民医院2011年1月—2015年12月期间收治的农药中毒病例进行分析,了解农药中毒情况,为农药中毒的防控提供数据支持。方法通过该院网络直报的农药中毒个案资料,分析农药中毒的性别、年龄分布,农药中毒类型、季节分布及不同农药种类病死率情况。结果收治的农药中毒患者共1 556例,死亡35例,病死率为2.25%,其中非生产性农药中毒占农药中毒比例的96.21%(1 497/1 556)。农药中毒女性较男性略多见,男女性比1.00∶1.18。非生产性农药中毒以自服或误服为主,且非生产性自服病死率高于非生产性误服,二者差异有统计学意义(P<0.05)。生产性农药中毒以二、三季度中毒较多,占62.71%(37/59);引起中毒者死亡的农药种类多为杀虫剂和除草剂,杀虫剂导致死亡17例,除草剂导致死亡16例,两者死亡病例占94.29%(33/35)。结论预防农药中毒应当加强农药的管理,做好个人防护及心理健康教育。
Objective To analyze the cases of pesticide poisoning admitted by the Second People’s Hospital of Yibin from January 2011 to December 2015 and provide data support for the prevention and control of pesticide poisoning. Methods According to the direct reports of pesticide poisoning in the hospital, the sex, age distribution, types of pesticide poisoning, seasonal distribution and case fatality rates of different pesticides were analyzed. Results A total of 1 556 cases of pesticide poisoning were admitted, of which 35 were fatal. The case fatality rate was 2.25%, of which 96.21% (1 497/1 556) were non-productive pesticide poisonings. Pesticide poisoning is slightly more common in men than in men, with a male / female ratio of 1.00: 1.18. The unproductive pesticide poisoning was mainly self-serving or unpleasant, and the unproductive self-service mortality was higher than that of unproductive clothes, the difference was statistically significant (P <0.05). Productive pesticide poisoning in the second and third quarter of poisoning more, accounting for 62.71% (37/59); cause poisoning were mostly pesticide and herbicide pesticides, insecticides led to death in 17 cases, herbicide led to death 16 cases, both deaths accounted for 94.29% (33/35). Conclusion Prevention of pesticide poisoning should be strengthened pesticide management, personal protection and mental health education.