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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。
Objective To analyze the etiology, poisoning and clinical outcome of oral organophosphorus pesticide poisoning in order to provide the basis for the intervention. Methods Six counties with high incidence of acute organophosphorus pesticide poisoning (AOPP) in Shandong Province were chosen as designated hospitals. Municipal organophosphate poisoning cases were observed. Results 410 suicide sufferers were young and middle-aged, 73.66% were caused by the family or disputes with others, and organophosphorus or organophosphate mixed pesticide with high oral toxicity was poisoned. Moderate to severe poisoning accounted for 89.02%. With the deepening of poisoning, treatment and hospitalization days also doubled. Conclusion Oral pesticide poisoning is an important social problem, posing a heavy burden to families and society. Social intervention should be stepped up to raise the level of treatment for pesticide poisoning and reduce the death toll caused by taking poisoned suicide.