ÖzetAmaç: Bu çalijmada intoksikasyon nedeni ile acil servise bajvuran ve sonrasmda yogun bakim ünitesinde izlenen intoksikasyon olgulannin demografik özeilikleri, etiyoloji ve prognozunun incelenmesi amaçlanmi §tir Yöntemler: Sivas Numune Hastanesi Acil Servisi'ne intoksikasyon nedeniyle bajvuran ve yogun bakim ünitesine kabul edilen 14 ya § ve üzeri tüm hastalar geriye dönük olarak tarandi. Ya §, cinsiyet, anamnez özellikleri ve prognozlari incelendi. Bulgular: Adi Servis'e bajvuran 1894 hastamn 1038'i (%54.8) kadm olup, yaj ortalamasi 32.76±14.88 idi. Bu hastalarm %36.4'ü intihar amaçli intoksikasyonlari oluptururken, 328'i (%17.3) yogun bakima almmi^tir Yogun bakima alman hastalarm 234'ü (%71.3) kadm olup, yaj ortalamasi 27.98+13.87 idi. Hastalarm 263'ü (%80.2) ilaç, 33'ü (%10.1) karbonmonoksit, 18'i (%5.5) besin, 4'ü (%1.2) organofosfat, 4'ü (%1.2) an sokmasi, 3'ü (%0.9) fare zehiri, 1'i (%0.3) alkol, 1'i (%0.3) tiner, I'i (%0.3) yilan sokmasi nedeniyle yogun bakima kabul edilmijierdi. Çalijmamizda intihar amaçli intoksikasyon orani %80.5 olarak bulundu. En sik gözlenen ilaç grubu ise antidepresanlardi (%25.8).Sonuç: intoksikasyon olgulannin daha çok genç kadmlarda ve bajlica antidepresan ilaçlar olmak üzere intihar amaçli ilaç alimi nedeniyle oldugu görüldü. Bu çalijmada Sivas yöresindeki intoksikasyon olgularmda hasta profili ortaya konuldu. (Haseki Tip Bülteni 2013; 51: 178-82) Anahtar Kelimeler: ¡ntoksikasyon, antidepresan, yogun bakim, acil servis Abstract Aim: in this study, we aimed to evaluate the epidemiological and demographic features and prognosis of all patients admitted to the emergency department and followed in intensive care unit due to poisoning. Methods:We resrospectively evaluated the patients over 14 years of age, who attended to the emergency department and was followed in our intensive care unit due to poisoning, were evaluated according to their demographic characteristics, anamnesis and prognosis.Results: Of 1894 patients, who were admitted to the emergency department, 1034 were female (54.8%). The mean age was 32.76±14.88 years. 36.4% of these patients were suicide attempters. Three hundred twenty-eight patients (17.3%) were admitted to the intensive care unit. Two hundred thirty-four (17.3%) were females and the mean age was 27.98±13.87 years. Of those patients, 263 (80.2%) were treated for drug intoxications, 33 (10.1%) for carbonmonoxide (CO) intoxications, 18 (5.5%) for food intoxications, 4 (1.2%) for insecticide poisoning, 4 (1.2%) for bee sting, 3 (0.9%) for rat poison intoxications, 1 (0,3%) for alcohol intoxication, and 1 (0.3%) was treated for snakebite. 80.5% of them were suicide attempters. The most frequently taken drugs were antidepressants (25.8%).Conclusion: intoxication cases admitted to the emergency department and intensive care unit were mostly young women, and drug overdose was the most common attempted method of suicide.
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