广西男女急性中毒原因与毒物特点分析

目的探讨广西男女性急性中毒的中毒原因与毒物特点。方法通过查阅63家医院2005-2009年的急性中毒病历收集资料,作男女间的总体发病、中毒原因、中毒毒物的分类分析。结果在6 004例病例中,女性(3 189例)高于男性(2815例),男女之比1∶1.13;其年龄:女性以20～60岁组(73.25%)高于男性(63.91%),而男性则以19、61岁2组(24.97、11.12%)高于女性(17.40、9.34%);其中毒原因:以意外性原因中毒病例(39.02%)最高、其次自杀性(31.50%);其中毒毒物:以农药类毒物的中毒病例(42.42%)最高,其次为化学类(17.72%),2类毒物的病例数占男女总病例数的60.14%。女性病例分析:其原因以自杀性中毒病例(39.92%)最多,其次为意外性(36.56%),其毒物以农药类的病例数(46.47%)最多,其次为化学类(19.07%)。男性病例分析:其原因以意外性中毒病例(41.81%)最多,其次为误食性(25.97%);其毒物以农药类中毒病例(37.83%)最多,其次为化学类(16.20%)。结论意外性和自杀性中毒原因与农药类和化学类毒物为广西地区急性中毒的主要原因与毒物,其中女性以农药类毒物所致自杀性急性中毒为主,男性则以化学类毒物所致的意外性急性中毒为主。

Causes and Toxicants of Acute Poisoning Among Males and Females in Guangxi

Objective To explore the causes and toxicants of acute poisoning in men and women of Guangxi.Methods Through medical records of acute poisoning cases from 2005 to 2009 in 63 hospitals,the classification analysis were carried out concerning the overall onset,the poisoning causes and toxicants between male and female.Results Female cases(3189) of all the 6004 cases were more than males(2815),with a ratio of 1:1.13.In the group of 20-60 years old,the proportion of female cases(73.25%) was higher than male cases(63.91%),while in the groups of <19 years old and >61 years old,the proportions(24.97%,11.12% respectively) of male cases were higher than female cases(17.40%,9.34% respectively).For the poisoning causes,those caused by the accident was highest(39.02%),followed by those suicides(31.50%).As to the poisoning toxicants,cases by pesticides was highest(42.42%),followed by chemical substances(17.72%).Cases by two kinds of toxicants accounted for 60.14% of the total.For female cases,the proportion(39.92%)aroused by suicide was highest,followed by accidents(36.56%).For male cases,cases(46.47%) aroused by the pesticides was highest followed by chemicals(19.07%).For female cases,41.81% were aroused by the accidents,followed by 25.97% of mistaken ingestion. Conclusion In Guangxi,the main causes and toxicants of acute poisoning were accidents and suicides,mainly with pesticides and chemicals.The acute poisoning of suicides by the pesticides were mainly female cases,and caused by chemicals were mainly male cases.