MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN NGỘ ĐỘC TỰ TỬ TẠI TRUNG TÂM CHỐNG ĐỘC BỆNH VIỆN BẠCH MAI

Abstract

Objectives: To describe the clinical and subclinical characteristics and evaluate the treatment results of suicidal poisoned patients admitted Poison Control Center of Bach Mai Hospital. Subjects and methods: A retrospective descriptive study of 317 patients who committed suicide by poisoning and were treated at Bach Mai Hospital, Poison Control Center. Methods: Descriptive, retrospective. Research period: 9/2021-5/2022. Result: The average age was 35.3 ±15.4. The male/female ratio was 0.8. Family conflict accounted for 48.6% of all causes. There were 54 patients diagnosed with pre-existing mental illness. 30.9% of suicide poisoning causes were due to herbicide ingestion. 46.7% of patients had gastrointestinal symptoms. The average white blood cell count in the mortality group was 17.19 ± 8.84 G/L. Urea and creatinine concentrations in the mortality group were 7.11±5.05 mmol/L and 146.17±180.07 µmol/L, respectively. Fluid transfusion and activated charcoal were the most commonly used with 100% and 62,1%. There were 36/317 deaths, corresponding to 11.4%. Conclusion: Suicidal poisoned patients had many causes, the most common cause was family conflicts. Common toxic agents were herbicides, psychotropic drugs and other drugs. Symptoms were most common in digestive system. Severe poisoning patients in the group often had renal failure, coagulopathy condition, and leukocytosis. The mortality rate was 11.4%.