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Journal of the Korean Academy of Family Medicine 1991;12(2):40-46.
Published online February 1, 1991.
The clinical studies on acute poisoning of infants and children visited the emergency room in rural area.
Chang Hi Lee, Gyu Dong Choi, Hyeon Soo Han, Hye Heon Hwang, Myung Ho Cho
농촌 지역 병원 응급실에 내원한 소아 급성 중독의 임상적 고찰
한현수, 황혜헌, 이창희, 조명호, 최규동
아산재단 정읍병원 가정의학과 아산재단 정읍병원 소아과
Abstract
This is the clinical studies of 90 cases of acute poisoning in pediatric age, visited the emergency room of Jeong Eup General Hospital, during the past 3 years from Jan., 1986 to Dec., 1988.
The following results were obtained.
The incidence of acute poisoning among the emergency pediatric patients was 1.96%.
The incidence was higher in boys than girls. The highest incidence was noted in the 1 to 3 year age group(28.9%), and followed by the 3 to 6 year age group (25.6%) and 13 to 15 year age group (23.3%).
The peak incidence in a year was shown in April (16.7%), and August (14.4%) with prominence in spring and summer season.
The accidental poisonings were frequent (67.8%) than suicidal or therapeutic purposes, which were 28.9% and 3.3% respectively.
The accidental poisonings occurred most frequently from 4:00 P.M. to 8:00 P.M. during the day.
The causative substances were 19 kinds. The agricultural chemicals were most common(45.6%) and the next common agents were rodenticide (13.3%), acetic acid (7.8%) fly & mosquitocides (4.4%), antifungal agent (4.4%) in order of frequency.
The clinical manifestations at emergency room were nausea & vomiting (46.7%), altered consciousness (22.2%), irritability(17.8%), bronchial secretion(16.7%), miosis(12.2%) in order of frequency. 25 cases(27.8%) of the patients were found incidentally without symptoms.
Outcome at emergency room was admission (55.6%), discharge at E.R. (30%), transfer (6.7%) hopeless, discharge (4.4%), exdeathed (3.3%) in order of frequency. The most common duration of admission was 2-3days (56%).


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