酸摄入:从向国家毒素数据系统2007-2017报告的病例的回顾性评估
Zachary Illg1,2, Joseph Carpenter1,2, Tim P Moran1
1Department of Emergency Medicine Emory University School of Medicine Atlanta Georgia USA.
摄入酸 (HF) 可以导致严重的后果,电解质干扰增加风险. 许多暴露的结果是将HF转移到未标记的容器中,突出了需要安全干预的需要.
科学领域:
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 酸 (HF) 已知具有全身毒性,特别是在高度下.
- 现有的数据主要集中在皮肤暴露,关于摄入结果的信息有限.
研究的目的:
- 为了确定与酸 (HF) 摄入相关的发病率和死亡率.
- 确定与HF摄入后严重结果相关的临床标准.
主要方法:
- 从2007年至2017年向国家毒素数据系统 (NPDS) 报告的142种酸 (HF) 摄入的回顾性分析.
- 抽象的数据包括人口统计,暴露细节,电解质异常,治疗方法和结果 (严重与非严重).
主要成果:
- 45.8%的HF摄入导致严重后果,包括6.3%的病例死亡.
- 电解质干扰,特别是低血症 (24.6%),与严重结果的风险增加有关.
- 很大一部分暴露 (46.5%) 是由于将HF转移到未标记的二次容器中.
结论:
- 虽然摄入酸 (HF) 的死亡率很低,但严重的结果很常见.
- 将HF转移到二次容器中是危险暴露的主要原因之一.
- 针对这种不安全的做法的干预措施对于防止严重的化学物质暴露至关重要.
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