ĐẶC ĐIỂM LÂM SÀNG VÀ ĐIỀU TRỊ NGỘ ĐỘC CẤP Ở TRẺ EM TẠI TRUNG TÂM CHỐNG ĐỘC BỆNH VIỆN BẠCH MAI

Abstract

Objectives: to describe the symptoms, management and treatment results of acute poisoning in children at the Poison Control Center, Bach Mai Hospital. Methods: A cross-sectional study on 200 patients <18 years old diagnosed with acute poisoning at the Poison Control Center, Bach Mai hospital from July 2014 to June 2015. Results: The most common symptoms were gastrointestinal symptoms (51%), acid-base and electrolyte abnormalities (54%), hematological changes (55%). The specific treatment rate is 56.0% (using a specific antidote and anti-snake venom serum 18.5%). Treatments to prevent gastrointestinal and skin absorption accounted for 43.5% and 15.5%, respectively. The rate of patients recovering, supporting, getting worse, not getting better were 33.5%; 57%; 5%; 4.5%, respectively. The rate of patients with more severe evolution was found in the group of children with chemical poisoning (11.2%) and drugs abuse (12.5%). The proportion of patients who did not get better after treatment was found in the group of children with chemical poisoning (8.8%) and by animal bites (3.7%). 100% of pediatric patients with drug and food poisoning recover from hospital discharge. Conclusion: Acute poisoning causes a variety of symptoms on all organs, the most common being gastrointestinal symptoms, acid-base and electrolyte abnormalities and hematological disorders. Timely detecting and treating with detoxification methods improves prognosis for patients.