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4．1．2％，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4．7．1％，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 investigate the characteristcs of the acute poisoning patients in the emergency department of a general hospital in a new emerging district by analyzing the data of Hangzhou. Methods A retrospective study of the characteristics of the poisoning patients in emergency department of Tongde Hospital of Zhejiang Province from January 2004 to December 2004 was conducted and statistically analyzed. Results There were 318 poisoning patients in this year, accounting for 8.3% of the total patients in emergency department. Among these poisoning patients, female was 58.8% and male 41.2% ; patients aged 21 ～ 30 years old accounted for 53.3% ; alcoholic poisoning was the major cause and accounted for 34.3%, and 83.3% were male; as the second cause, sedative accounted for 34.0%, and 72.4% were female; food poisoning accounted for 6.91%, and students was 90.9%. There was no relation between season and poisoning type. In the poisoning patients, 30.8% were career men, and 19.5% were unemployed, 19.6% were students, and 85.2 % were deliberate. Conclusion Young persons and career men were the high-risk group of poisoning, poisoning type was connected with work and gender.
Chinese Journal of Emergency Medicine