일개 권역응급의료센터로 내원한 중독환자의 임상적 특징 = Analysis of Acute Intoxications in an Authorized Regional Emergency Center

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to determine the best management method of acute intoxicated patients by the analysis of acute intoxications in a authorized regional emergency center.
Methods: We reviewed retrospectively the medical records of 185 patients with acute intoxication in the Pusan Authorized Regional Emergency Medical Center, Pusan National University Hospital during one year from June 2004 to May 2005.
Result: Total number of patients was 185 which is 1.0% of total ED patient. The male to female ratio was 1:1. The distribution of age showed the highest incidences in 4th(22.7%) and 3rd(16.2%), 5th (16.2%) decades. From all cases of intoxication, 69.7% was done on purpose. Acute intoxications were occurred in house mostly as 41.7%. The percentage of patents who transferred to emergency medical center of PNUH was 56.2%. The common intoxicated materials were insecticides(40%) and medicines(28.2%). The most patients(88.65%) intoxicated by a single toxic material. The patients(29.1%) visited to emergency department within 2 hours after ingestion of toxic material had clinically advantages to be performed gastric lavage. The gastric decontamination was performed in 45.6% of all patients. Among them the gastric lavage were performed in 68 cases. The outcomes of the intoxicated patients were discharge at ED(28.1%), transfer to other hospital(24.3%), discharge against medical advice(24.3%), admission(12.0%), death at ED(9.1%), other(2.2%).
Conclusion: Acute intoxication is one of important part of emergency medicine. We must develop the systemic medical service of intoxication and the education programs for preventing acute intoxication and strict legal control of drugs are important and necessary.