印度北部三级医院急性农药中毒(APP)病例的临床分析

Richa Gupta, S. Gupta, Mradul Chaturvedi, A. Agrawal
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引用次数: 0

摘要

中毒是世界范围内的一个重大健康问题。印度是一个以农业为基础的经济体,农药中毒在中毒案件中占最大的份额。该研究于2018年9月至2019年9月在阿格拉S.N.医学院急诊科进行,调查该地区急性农药中毒(APP)病例。本组病例以年龄21 ~ 30岁为主,平均年龄28.10±11.38岁,男性居多。本研究发现APP中毒占全部中毒病例的61%,其中以OP中毒最多,临床表现为呼吸困难/呼吸急促、出汗、呕吐、腹痛。APP病例的死亡率为10.5%。虽然病死率最高的是celphos (AlP),它最常见的症状是感觉异常、腹泻和腹痛。
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Clinical presentation of various APP cases admitted in S.N.M.C., Agra clinical profiling of acute pesticide poisoning (APP) cases admitted in tertiary care hospital of north India
Poisoning is a significant health problem around the world. In India being an agriculture based economy, Pesticide Poisoning contributes largest sum in poisoning cases. The study was conducted in Emergency Department of S.N. Medical College and Hospital, Agra from Sept 2018 to Sept 2019 to investigate Acute Pesticide Poisoning (APP) cases in the region. Majority of cases in our study were from age group of 21-30 yrs with mean age of 28.10 ± 11.38 yrs with male predominance. In This study we found out that APP is 61% of all poisoning cases, out of them maximum cases belongs to OP poisoning which clinically presented with Dyspnea/Tachypnea, Sweating, Vomiting, Abdominal pain . Mortality in APP cases was found to be 10.5%. Although case fatality ratio is highest in cases of celphos (AlP) which most commonly presented with symptoms of Paresthesias, Diarrhea, and Abdominal pain.
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