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Admission to a pediatric intensive care unit for poisoningA review of 105 cases

 

作者: JACQUES LACROIX,   PIERRE GAUDREAULT,   MARIE GAUTHIER,  

 

期刊: Critical Care Medicine  (OVID Available online 1989)
卷期: Volume 17, issue 8  

页码: 748-750

 

ISSN:0090-3493

 

年代: 1989

 

出版商: OVID

 

数据来源: OVID

 

摘要:

We reviewed all patients treated for intoxication in the pediatric ICU (PICU) of the Sainte-Justine Hospital over a 3-yr period. Poisoning (105 patients) constituted 3.1% of PICU admissions. Most involved children < 3 (42%) yr or >12 (33%) yr. Products most commonly ingested included tricyclic antidepressants (22%), benzodiazepines (15%), theophylline (10%), ethanol (10%), hallucinogens (8%), salicylates (8%), narcotics (8%), antihistamines (7%), and carbamazepine (5%). Three children became comatose after ingesting about 1 g of hashish. Multiple drug ingestions were frequent (22%), particularly in suicide attempts (11/23). Treatment was, in general, interventionist and nonspecific; aggressive measures for poisoning were required in only two patients who were hemodialyzed. Two patients stayed in the PICU >2 days. All patients survived with no sequelae, except for one patient who required an intestinal resection. Poisoning in children is a common occurrence leading to PICU admission: however, the medical prognosis is usually excellent.

 

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