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目的:分析2007—2011年度中毒重症科收治中毒性疾病谱的变化。方法:根据国际疾病分类(ICD-10)标准,对我科4年来收治的中毒性住院患者发病状况进行分类统计和比较分析。结果:2007—2011年度共收治中毒住院患者2263例次,治愈1379例次,好转801例次,死亡101例次,病死率4.5%。百草枯、一氧化碳和有机磷中毒居前3位;中毒途径居前3位的依次是自杀、被动吸收和误服;城市患者占6.8%,农村患者占93.2%(P<0.01);男性占47.3%,女性占52.7%(P>0.05);发病年龄段以18～26岁最多。结论:中毒性住院患者呈逐年上升趋势,病死率呈下降趋势;呈现明显的季节性;中毒途径以自杀最多见,青年人是中毒的高危人群,尤其是青年女性。
Objective: To analyze the changes of the spectrum of toxic diseases admitted to the intensive department of poisoning in 2007-2011. Methods: According to the International Classification of Diseases (ICD-10), the incidence of toxic inpatients admitted to our department for 4 years were classified and analyzed statistically. Results: A total of 2263 hospitalized patients were poisoned in 2007-2011, 1379 cases were cured, 801 cases were improved, 101 cases were killed and the case fatality rate was 4.5%. Paraquat, carbon monoxide and organophosphorus poisoning ranked the top three; the top three pathways of poisoning were suicide, passive absorption and erroneous taking; 6.8% in urban areas, 93.2% in rural areas (P <0.01), and 47.3% in men %, Women accounted for 52.7% (P> 0.05); onset age of 18 to 26 years of age. Conclusions: The incidence of poisoning inpatients shows an upward trend year by year with a decreasing trend of mortality. Seasonal seasonal manifestations are found. The most common way of poisoning is suicide. Young people are at high risk of poisoning, especially young women.