摘要
目的 :探讨儿童急性中毒的原因及诊治。方法 :回顾 12 2例儿童急性中毒的临床资料诊断进行分析。结果 :误服中毒6 6例占 5 4 % ;学龄儿童轻生服毒 2 8例占 2 3% ;其他中毒 (一氧化碳、酒精、被人投毒、吸入等 ) 2 8例占 2 3%。误诊为中毒性脑病 4例 ,重症肺炎 4例 ,发病高峰年龄 1～ 4岁 5 8例 ,占 4 7.5 % ,且年龄小 ,不能自述易误诊。结论 :强调家长要妥善保管好农药、鼠药、药物等 ,以防孩子误服。要关心学龄儿童的情绪变化 ,及时给予心理指导早期干预。提高首诊诊断正确率 。
Objective: The aim of the study is to study the cause, diagnosis and treatment for children acute toxicosis. Methods: 122 cases of children acute toxicosis were retrospectively reviewed. Results: 66 (54%) cases were caused by misapplying medicine. 28 school-age children suicide themselves by taking poison. There were 28 other toxicosis cases (carbon monoxide, alcoholism, poisoned by person, inhale poisonous gases), That was 23%. 4 cases with encephalopathy and 4 cases pneumonia were misdiagnosed. The children from 1 to 4 are the peak crowded of children acute toxicosis and 58(47.5%) cases were founded. It may cause mistaken diagnosis that these children have no ability to account in their own words. Conclusion:In order to prevent children from misapplying medicine, we emphasize that parents should properly keep pesticide, mouse drugs and medicine etc. On the other hand, parents should concern for children's stability of mind, and help children to straighten out their muddled psychology timely. The key point for successful salvage rate is to improve the accuracy of the first diagnosis.
出处
《中国临床医学》
2003年第6期894-895,共2页
Chinese Journal of Clinical Medicine
