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KMID : 0371619930090010167
Journal of Wonkwang Medical Science
1993 Volume.9 No. 1 p.167 ~ p.176
Clinical Observation of Acute Drug Intoxication


Abstract
Clinical observation was made on 405 cases of drug intoxication visited to WoKwang university hospital via emergency room during one year from January 1991 to December 1991.
@ES The results were sumarized as follows:
@EN 1. Annual incidence was 1.91%(405 of the 21247 patients).
2. Factors related to increased occurrence were male(53.83%), age of 3rd decade(26.67%), Monday (17.78%), and August(17.28%).
3. The motives of most intoxication(88.89%) were suicidal attempts.
4. The most common drug of intoxication was insecticides(36.54%), the remainders were S. T. H.(17.04%), herbicides(11.36%), puffer(5.43%), rodenticides(4.49%), etc.
5. The chief complaints on arrival to emergency room were nausea & vomiting(36.79%), mental change(15.56%),dizziness(13.33%), general weakness(4.49%), etc.
6. The abnormal vital signs on arrival to emergency room were tachycardia(18.52%), mental change (15.56%) hypertension(9.63%), etc.
7. The observed abnormal laboratory findings on admission(27 cases) were elevated ALP(15 cases), leukocytosis(12 cases), depressed T. Protein, depressed HCO3, hypocarbia etc, in order of frequency.
8. The complications of acute D-I were aspiration pneumonia(2.22%). G-I symtpom(1.23%; ileus, peptic ulcer, gastritis etc.) parkinsonism(0.74%), etc.
9. The outcomes of the patients were recovery(63.46%), against discharge(26.42%), hopeless discharge(8.15%), death(1.98%)
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