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近年未由于灭鼠药的广泛使用,临床上小儿误服鼠药中毒的病例不断发生。现将我科1998年7月至2000年7月收治的76例小儿鼠药中毒临床分析如下。1 临床资料1.1 一般资料78例均来自农村,男41例,女37例,年龄1～3岁39例,4～7岁20例,>7岁19例。中毒途径均为误服。药物种类;氟乙酰胺62例(79.5%),敌鼠钠盐7例(9%),毒鼠强5例(6.4%),成分不明4例(5.1%)。就诊时间30分钟至1小时22例,1～6小时35例,>6小时21例。1.2 临床表现恶心、呕吐36例(46.2%),头痛、头晕28例(35.9%),抽搐68例(87.2%),昏迷40例(51.3%),腹痛17例(21.8%),皮肤出血点、瘀斑12例(15.4%),上消化道出血7例(9%),呼吸衰竭5例(6.4%),心力衰竭2例(2.6%),血尿9例(11.5%)。1.3 辅助资料血常规:轻至中度贫血11例(14.1%),血小板<70×10~9/L9例(11.5%),血清ALT、AST增高6例(7.7%),
In recent years, due to the widespread use of rodenticides, clinical cases of mice poisoned by rodent poisoning continue to occur. Now our department from July 1998 to July 2000 admitted to 76 cases of pediatric rat poisoning clinical analysis is as follows. 1 Clinical data 1.1 General information 78 cases were from rural areas, 41 males and 37 females, aged 1 to 3 years in 39 cases, 4 to 7 years old in 20 cases,> 7 years old in 19 cases. Poisoning methods are wrong clothes. There were 62 cases (79.5%) of fluoroacetamide, 7 cases (9%) of sodium enemies, 5 cases (6.4%) of tetramine and 4 cases (5.1%) of unknown components. Treatment time was 30 minutes to 1 hour in 22 cases, 1 to 6 hours in 35 cases,> 6 hours in 21 cases. 1.2 Clinical manifestations Nausea and vomiting in 36 cases (46.2%), headache, dizziness in 28 cases (35.9%), seizures in 68 cases (87.2%), coma in 40 cases (51.3%), abdominal pain in 17 cases (21.8% Ecchymosis in 12 cases (15.4%), upper gastrointestinal bleeding in 7 cases (9%), respiratory failure in 5 cases (6.4%), heart failure in 2 cases (2.6%) and hematuria in 9 cases (11.5%). 1.3 Auxiliary data Blood routine: mild to moderate anemia in 11 cases (14.1%), platelet <70 × 10 ~ 9 / L in 9 cases (11.5%), serum ALT, AST increased in 6 cases (7.7%