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An Emergency Service Diagnosis in Childhood with an Increasing Trend Within Time: Alcohol Poisoning

Tarih

2012

Yazar

Guzel, Ahmet
Paksu, Muhammet Sukru
Sisman, Bulent
Murat, Naci
Yuce, Murat
Sahin, Serkan
Paksu, Sule

Üst veri

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Özet

Objective: The aim of this study was to investigate the clinical and demographic features of patients presentign to the pediatric emergency department with alcohol intoxication. Material and Methods: The hospital records of 43 pediatric patients (0-18 years old) who presented with alcohol intoxication between January 2006 and March 2011 were examined retrospectively. Results: During the study period, 43 pediatric patients were admitted to our emergency unit; thirty-two patients (74.4%) were male, 11(25.6%) were female. The mean age of the patients was 13.7 +/- 5.3 years (1 to 17 years). The reason of alcohol intoxication was excessive intake in 33 patients (76.7%), accidental intake in 7 patients (16.3%) and suicide attempt in 3 patients (7.0%). The median blood alcohol level was 127 (1-314) mg/dl. Poisoning severity score (PSS) was mild in 23 (53.5%) patients, moderate in 2 (4.7%) patients and severe in 3 (7.0%) patients. Glasgow Coma Score (GCS) was <= 8 in three (7.0%) cases. The most common symptoms and signs were nausea (48.8%), vomiting (46.5%), consciousness (7.0%) and hypothermia respectively. Three patients (7.0%) had a history for trauma. One patient had clinical findings of sexual abuse. Alcohol and illicit drug use was detected in two patients (4.7%). The mean follow-up period of the subjects was 16.1 +/- 7.1 hours. Intravenous fluid therapy was adminisered in forty-two (97.6%) patients and intravenous sodium bicarbonate in 1(2.3%) patient. Conclusion: Admissions to pediatric emergency services because of alcohol poisoning are increasing. Trauma, drug use, and psychiatric disorders may accompany this clinical picture.

Kaynak

Turkiye Klinikleri Tip Bilimleri Dergisi

Cilt

32

Sayı

5

Bağlantı

https://doi.org/10.5336/medsci.2011-25942
https://hdl.handle.net/20.500.12712/16296

Koleksiyonlar

  • Scopus İndeksli Yayınlar Koleksiyonu [14046]
  • WoS İndeksli Yayınlar Koleksiyonu [12971]



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