176例儿童口服中毒的急救处理及健康教育.docVIP

176例儿童口服中毒的急救处理及健康教育 王荣花 陈宁 房夏玲 郭芳 马乐 西安交通大学第一附属医院儿科 西安交通大学医学部公共卫生学院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨儿童口服中毒的急救处理方法, 并为家属提供有针对性的健康教育指导。方法 对2013年1月至2016年12月期间在西安交通大学第一附属医院儿科抢救室收治的176例急性口服中毒患儿的临床资料进行回顾, 总结中毒患儿洗胃、灌肠、催吐、利尿及血液灌流等急救措施的抢救治疗经验, 并对其中毒种类及相关原因进行归纳分析。结果 急性口服中毒涉及儿童各年龄段, 以13岁患儿最多, 为109例 (61.93%) , 176例中毒患儿中, 男孩91例 (51.71%) , 女孩85例 (48.29%) 。所有患儿经洗胃、解毒及血液灌流等急救处理后, 临床治愈170例 (96.59%) , 好转6例 (3.41%) 。结论 儿童中毒重在预防, 应采取多样化的宣传方式, 向家长普及口服中毒的相关健康知识及院前急救常识, 重视儿童日常看护, 加强对家庭一般药物、农药以及其它非食用性用物的监管;对青春期儿童, 应家校联合共同做好其心理疏导, 减少儿童服毒事件, 保障儿童健康成长。 关键词： 儿童; 急性中毒; 急救; 健康教育; 作者简介：王荣花 (1976—) , 女, 主管护师, 主要从事儿科门诊管理工作。 作者简介：马乐, 博士生导师/副教授。 收稿日期：2017-01-06 The first-aid treatment and health education of 176 children with oral poisoning WANG Rong-hua CHEN Ning FANG Xia-ling GUO Fang MA Le Department of Pediatrics, First Affiliated Hospital of Xian Jiaotong University; School of Public Health, Health Science Center of Xian Jiaotong University; Abstract： Objective To discuss the first-aid treatment of children with oral poisoning and offer guide on health education for their relatives.Methods Retrospective analysis was conducted on clinical data of 176 emergency children with oral poisoning rescued in department of pediatrics in the First Affiliated Hospital of Xian Jiaotong University from January 2013 to December 2016.Rescue therapy experience in gastric lavage, clysis, emetic, dieresis and hemoperfusion for poisoned children was summarized and poisoning styles and causes were analyzed.Results Acute oral poisoning occurred in children of different age, with the majority in those aged 1-3 years (109 cases, 61.93%) .Among 176 poisoned cases, 91 were boys (51.71%) and 85 were girls (48.29%) .After treatment of gastric lavage, detoxification and hemoperfusion, 170 poisoned children (96.59%) were cured and 6 (3.41%) were recovered.Conclusion Prevention is key to avoiding children poison, and different kinds of education on health and pr