【摘要】 目的通过对口服有机磷自杀中毒者的病因、中毒情况及临床转归分析,为采取干预措施提供依据。方法选择山东省急性有机磷农药中毒(AOPP)高发区的6家县、市级医院为定点医院,观察口服有机磷农药中毒病例。结果 410例自杀者以青壮年为主,73.66%因家庭或与他人纠纷引起,口服毒性较高的有机磷或有机磷混配杀虫剂中毒。中重度中毒占89.02%。随着中毒程度加深,救治用药和住院天数也成倍增加。结论口服农药中毒是重要的社会问题,给家庭和社会造成了沉重的负担。应加强社会干预,提高对农药中毒的救治水平,减少因服毒自杀造成的死亡。更多还原

【Abstract】 Objective The demography,clinical characteristics and fate of 410 suicides with oral intake of organophosphates were analyzed to get the knowledge for intervention.Methods The medical records of poisoning cases with oral intake of organophosphates in six county-level or city-level hospitals within Shangdong Province were collected and analyzed.Results The most victims were young adults;the main reason for oral intake of organophosphates was family inharmonious condition or conflict with neighbors or colleagues,accounting for 73.66%.Most cases digested the organophosphorus pesticides or mixtures containing this chemical with high acute toxicity.89.02%cases were diagnosed as moderate or severe poisoning.The severe cases had a high cost of drugs and long hospitalization time.Conclusion Suicide due to oral intake of pesticide is a important social problem, which brings the family or society serious problem.It must be paid more attention to and effective intervention measures should be studied.Furthermore,the clinical treatment should be improved to reduce the fatality.更多还原