论文部分内容阅读
目的探讨广西急性中毒毒物的5年动态变化特点。方法从广西63个医疗单位收集6 004例急性中毒病例与其接触的532种毒物进行5年动态分析。结果毒物与病例的5年总体动态分析:在2005—2009年中出现1~5年的5类毒物数各为320、91、34、33、54种,其病例数依序各为536、268、191、321、4 688例;各种毒物5年致病性动态分析:在出现2~5年的4类毒物中,其负递增数依序为16、8、3、4,其零递增数依序为62、12、4、0,其正递增数依序为:13、14、26、50种。正递增毒物的致病性比较:在2~5年正递增毒物中,其合计病例数与年均递增病例数依序为66与6.75例、80与4.25例、276与15.25例、3810与92.50例。结论广西地区急性中毒毒物特点:以60%毒物引致中毒病例不到10%,约10%毒物则引致80%的病例;按其在5年中出现年数可将这些毒物分为“新发、可变、常发毒物”三类,按其动态致病作用分类,又可分为:“逐年减弱态与增强态”二类,若按其年均递增病例数,还可分为:低、中、高递增三类。以5年连续出现的高递增毒物为广西致急性中毒主要毒物。
Objective To investigate the characteristics of five-year dynamic changes of acute poisoning poisoning in Guangxi. Methods A total of 6 004 cases of acute poisoning and 532 kinds of poisons were collected from 63 medical units in Guangxi for 5 years dynamic analysis. Results Overall 5-year dynamic analysis of poisons and cases: The number of Category 5 poisons in each of 1 to 5 years from 2005 to 2009 was 320, 91, 34, 33 and 54 respectively. The number of cases were 536 and 268 respectively , 191,321,4688 cases; 5-year pathological dynamic analysis of various poisons: Among the 4 types of poisons that appeared 2 to 5 years, the negative increment order was 16,8,3,4, The numbers are 62, 12, 4, and 0 in the order of positive increasing order: 13, 14, 26 and 50. Positive increase in virulence of pathogenicity comparison: in 2 to 5 years of positive increase in poison, the total number of cases and the average number of cases of increasing order of 66 and 6.75 cases, 80 and 4.25 cases, 276 and 15.25 cases, 3810 and 92.50 example. Conclusions The characteristics of acute poisoning poisoning in Guangxi are as follows: less than 10% of poisoning cases are caused by 60% poisoning and 80% of them are caused by about 10% poisoning. According to the number of years of occurrence in five years, Variable, often toxic “three categories, according to their dynamic pathogenic role classification, but also can be divided into:” weakened and enhanced state year by year, "the second category, according to their average annual number of cases can be divided into : Low, medium and high increase three categories. The 5-year consecutive high-grade poisoning is the major poisoning caused by acute poisoning in Guangxi.