Elazığ Eğitim ve Araştırma Hastanesi Yoğun Bakımında izlenen zehirlenme olgularının geriye dönük analizi

Amaç: Çalışmamızın amacı, 2008-2010 yılları arasında yoğun bakım ünitemizde zehirlenme nedeniyle takip edilen hastaların geriye dönük olarak incelemektir. Gereç ve Yöntemler: Bu çalışmada, 2 yıl içerisinde Reanimasyon Ünitesine zehirlenme tanısı ile kabul edilen olgular, retrospektif olarak incelenmiştir. Bulgular: Toplam 457 hastanın 325'i (%71.1) kadın, 132'si (%28.9) erkek ve K:E oranı yaklaşık 2.5:1 idi. Hastaların 72'si (%15.75) psikiyatrik tedavi almakta idi. En sık alınan ilaç grubu antidepresanlar (109 kişi, %23.8) ve bunlarında 57'si (%52.3) trisiklik antidepresandı. Hastaların 128'i (%28.6) birden fazla ve farklı ilaç almışlardı. Hastaların 12'si (%2.6) solunum yetmezliği nedeniyle entübe edildi. Bir (%0.21) hastada ise zehirlenme tablosu ölümle sonuçlandı. Sonuç: Çalışma süresince akut zehirlenmelerde gençlerin ve kadınların, yüksek risk taşıyan grupları oluşturdukları, ilaç ile zehirlenmenin de en yaygın zehirlenme türü olduğu sonucuna vardık.

A retrospective analysis of intoxication cases in Intensive Care Unit of Elazığ Education and Research Hospital

Objective: In this study, we aimed to evaluate intoxication cases which were followed-up in intensive care unit between 2008 – 2010 retrospectively. Materials and Methods: In this study, poisoned patients admitted to the reanimation unit were investigated retrospectively in last two years. Results: 325 female (71.1 %) and 132 male (28.9 %) patients were investigated (457 patient totally). Rate of male : female was 2.5 : 1. 72 patients (15.75 %) were under psychiatric treatment. The drugs that most frequently taken were antidepressant and mostly was trisiclic antidepressant (57 patient, 52.3 %). 128 patients (28.6 %) had taken more than one drug and different drugs. 12 patients (2.6 %) were intubated endotracheally for respiratory failure. Only one patient (0.21 %) has died after intoxication. Conclusion: We decided that young patients and females compose the high risky group for acute intoxication and drug intoxication was the most common type of poisoning by this study.

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