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目的分析杭州市新兴城区综合医院急性中毒患者群体的情况,以探讨新兴城区综合医院急性中毒的特点。方法采用前瞻性研究方法,对从2004年1月至2004年12月期间到浙江省立同德医院就诊的中毒患者进行统计分析。结果1年中共有318例急性中毒患者,占同期急诊抢救患者的8．3%,男性41．2%,女性58．8%。中毒高峰年龄段为21～30岁(占53．5%)。酒精中毒居第一位(34．3%,男性占83．3%),其次为安眠类药物(34．0%,女性占72．4%)和食物中毒(6．91%,学生占90．9%)。就诊时的病程超过1h者47．1%,小于30min者38．1%,且二者在患者转归中差异有显著性(P＜0．01)。就诊季节分布和中毒类型无特异规律性。中毒患者中,专业技术人员30．8%,待业人员19．5%,学生19．6%。中毒方式中主动有意图者占85．2%。结论青年人和专业技术人员是新兴城区急性中毒发生的高危人群；中毒类型与职业和性别有关；就诊时的病程与中毒转归相关。
Objective To analyze the population of patients with acute poisoning in Xingcheng District General Hospital of Hangzhou to discuss the characteristics of acute poisoning in Xincheng District General Hospital. Methods A prospective study was conducted to analyze the data of patients who were admitted to Tongde Hospital of Zhejiang Province from January 2004 to December 2004. Results A total of 318 acute poisoning patients in one year, accounting for 8.3% of emergency patients in the same period, 41.2% were male and 58.8% were female. Poisoning peak age range of 21 to 30 years old (53.5%). Alcoholism ranked first (34.3%, men 83.3%), followed by sleeping drugs (34.0%, women 72.4%) and food poisoning (6.91%, students 90% .9%). At the time of diagnosis, the duration of disease was 47.1% in 1h and 38.1% in less than 30min, and there was a significant difference between the two groups (P <0.01). The distribution of the season and the type of poisoning had no specific regularity. Among poisoned patients, 30.8% were professional and technical personnel, 19.5% were unemployed and 19.6% were students. Poisoning initiative intentions accounted for 85.2%. Conclusions Young people and professional technicians are the high risk population of acute poisoning in newly emerging urban areas. The type of poisoning is related to occupational and gender. The duration of treatment is related to the prognosis of poisoning.