72例重症急性中毒病例的流行病学分析

摘要

Objective To analyze clinical data of acute poisoning cases in the Intensive Care Unit ( ICU) , and understand epidemiological characteristics of severe patients with acute poisoning in ICU , and search for the clinical treatment strategy and improve the success rate of rescue .Methods Collected72 severe cases with acute poisoning in the ICU ward of Peking University Shenzhen Hospital from January 2003 to December 2015, using retrospective analysis method .Results Drug poisoning ranked first , accounting for 47.22%;Poisoning way was given priority to suicide poisoning (81.94%);the peak age of poisoning were from 20 to 39;the most common route of poison entering the human body was digestive tract .Conclusions Severe acute poisoning is the emphasis and difficulty of treatment in ICU; acute poisoning can often endanger the lives of patients.Improving the emergency rescue and clinical diagnosis and treatment of severe acute poisoning has important practical significance .%目的：对重症监护病房（ ICU）急性中毒病例的临床资料进行分析，了解我院ICU急性中毒患者的流行病学特点，寻求临床救治策略，提高抢救成功率。方法收集北京大学深圳医院ICU病房2003年1月至2015年12月收治的72例重症急性中毒病例，采用回顾性分析方法进行研究。结果药物中毒高居首位，占47．22％；中毒方式以自杀中毒为主（81．94％）；中毒年龄高峰在20～39岁，中毒途径以消化道途径为主。结论重症急性中毒是ICU的治疗难点和重点，常可危及患者生命，提高重症急性中毒的紧急抢救和临床诊疗水平，具有重要的现实意义。