Estudio de 999 intoxicaciones agudas atendidas en el ámbito hospitalario

Resumo

Nine hundred and ninety nine acute intoxications in adults attended at the Emergency Service of Miguel Servet Hospital of Zaragoza throughout 1995 were studied. The average age of our series was 32.8 years, with a light prevalence of the male sex (59.8%). Among the patients who reported their background, 310 were drug abusers, 298 had followed psychiatric treatment, and 47 usually consumed psychoactive medicines. The incidence of the intoxications was lightly higher in october and april, and on saturdays and sundays because of an important use of drugs of abuse. The oral administration was the most commonly used and related to alcohol (587 cases) and medicines (232 cases); among the medicines, the benzodiazepines occupied the first place (174 cases), followed by antidepressants (51 cases), analgesics (48 cases) and neuroleptics (27 cases). Intravenous injection was related to opiate-takers (66 cases). The neurological clinic was predominant (74.5%), with a good evolution in most of the patients (only 0.3% of mortality). The use of antidotes (202 cases), and the gastric washing (150 cases) were the therapies most applied. So, the poisoned patient's profile in this series corresponds with a man about 33 years old, alcohol abuser, who presents neurological manifestations and a favourable clinical evolution.