1996-2004 yılları arasındaki erişkin zehirlenme olguları
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Date
2006-07-28
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Uludağ Üniversitesi
Abstract
Acil servislere akut zehirlenme nedeniyle başvuru sık görülmektedir. Zehirlenme olguları ciddi mortalite ve morbiditeye yol açabilirler. Çalışmamızda Uludağ Üniversitesi Tıp Fakültesi (U.Ü.T.F) acil servisine Ocak 1996 – Aralık 2004 tarihleri arasında başvuran 3384 zehirlenme olgusu geriye dönük olarak taranmış ve olgular yaş, cinsiyet, zehirlenme türü ve prognoz açısından incelenmiştir. Olguların % 62.5’i kadın (yaş ortalaması 27.3±12.1), % 37.5’i ise erkektir (yaş ortalaması 31±14.5). Zehirlenme türü açısından % 58.6 olguyla ilaçla zehirlenme ilk sırayı almaktadır. Besin reaksiyonları % 10.5 olguda, karbonmonoksit zehirlenmesi % 8.3 olguda, tarım ilacı ile zehirlenme % 4.1 olguda, koroziv maddelerle zehirlenme % 3.5 olguda mantar zehirlenmesi % 2.5 olguda, metanol zehirlenmesi % 0.5 olguda görülmüştür. Olguların % 56.4’ü acil servisten taburcu edilmiş, % 20.2’si yatarak tedavi görmüş, % 21.6’sı başka bir hastaneye sevk edilmiş ve % 2.5’i ise ölmüştür. Sonuç olarak; zehirlenme olgularında genç yaş grubu ve kadınların yüksek risk taşıyan grupları oluşturdukları, ilaç ile zehirlenmenin en yaygın tür olduğu saptanmıştır.
Acute poisoning is frequent cause of admission to emergency departments and these cases may have hazardous outcomes. In the present study, medical records of 3384 poisoned patients admitted to Uludag University Medical School’s emergency department between January 1996 and December 2004 were investigated. The age, sex, outcomes of the patients, and type of poisoning are described. The mean age for females (% 62.5 of the patients) was 27±12.1 years, whilst the mean age of male patients was (%37.5) 31±14.5 years. The most common types of poisonings were ingestion of drugs (% 58.6), reaction to food (% 10.5) carbon monoxide (% 8.3) organophosphates (% 4.1) corrosives (%3.5), mushrooms (%2.5), ethanol overdose (% 3.2) and methanol (% 0.5). Of the patients, 56.4% were discharged from emergency department, 20.2% were hospitalized and 2.5% died. Young people and women are high-risk groups for acute poisoning and drug poisoning was found to be the most common type of poisoning.
Acute poisoning is frequent cause of admission to emergency departments and these cases may have hazardous outcomes. In the present study, medical records of 3384 poisoned patients admitted to Uludag University Medical School’s emergency department between January 1996 and December 2004 were investigated. The age, sex, outcomes of the patients, and type of poisoning are described. The mean age for females (% 62.5 of the patients) was 27±12.1 years, whilst the mean age of male patients was (%37.5) 31±14.5 years. The most common types of poisonings were ingestion of drugs (% 58.6), reaction to food (% 10.5) carbon monoxide (% 8.3) organophosphates (% 4.1) corrosives (%3.5), mushrooms (%2.5), ethanol overdose (% 3.2) and methanol (% 0.5). Of the patients, 56.4% were discharged from emergency department, 20.2% were hospitalized and 2.5% died. Young people and women are high-risk groups for acute poisoning and drug poisoning was found to be the most common type of poisoning.
Description
Bu çalışma, 1. Disiplinler Arası Toksikoloji Kongresinde (20-22 Nisan 2005 Ankara) sözlü bildiri olarak sunulmuştur.
Keywords
Akut zehirlenmeler, Acil servis, Acute poisoning, Emergency department
Citation
Aydın, Ş. A. (2006). "1996-2004 yılları arasındaki erişkin zehirlenme olguları". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 32(1), 25-27.