摘要
Abstract
Objective To analyze the medical records of poisoned children hospitalized in neurological department , so as to improve the clinical screening , diagnosis and timely treatment for such patients .Methods A retrospective analysis was conducted .Based on the diagnosis of drug poisoning , the integrated management system of Xi'an Children's Hospital was retrieved , and the medical records of 86 cases suffering drug poison and hospitalized in neurological department were checked .Children's age, gender, household registration , symptoms and the causes of the disease were analyzed by univariate and multivariate analysis .Results Nervous system damage of various degree occurred in all of 86 cases, including 32 cases(37.21%) for iatrogenic cause , 26 cases(30.23%) for drug mistaking and 28 cases (30.23%) for unknown medication .All of the cases were cured and discharged .The proportion of medication poison in boys ( 54, 62.79%) was remarkably higher than that in girls , the numbers of poisoned boys both in the group of over 5 years and the group of under 5 years were larger than those in girls .The differences were significant (χ2 =5.50, P <0.05).There were 74 cases in rural area (86.05%) and 12 cases in urban area(13.95%).The causes were different in different areas (χ2 =5.04, P<0.05).Conclusion Safety knowledge education should be carried out vigorously among children , and guardianship should be strengthened for left-behind children.Meanwhile, the occupational level of physicians for primary care and the diagnosis and nursing level on medication poison need to be improved .关键词
中毒/药物/儿童/神经系统Key words
poison/drug/children/neural system分类
医药卫生