بررسی یکساله علل مرگ و میر ناشی از مسمومیتهای دارویی و شیمیایی در بیمارستان سینا همدان طی سال 1380

Every year many people refer to emergency department due to poisoning and some of them be threated and some die because of the intensity of adverse effect. Most patients who refer to emergency department are those who commit intentionally for Suicide attempt and another group are those who are poisoned due to drug overdose.           In this study we reviewed annual number of death due to drug and chemical poisonings that attend to Sina hospital, Hamadan in the year 2001. This retrospective study was gather based on poisoned file who refer to emergency department and died due to intensity of adverse effects of poisoning.           The results show that out of 1079 patients ,47 cases have died because of intensity of adverse effects. Mortality rate in male was 74.5% and in female was 25.5%. 68.1% was seen in those patients who committed suicide and in the second degree was seen in drug abuser(21.3%). The greatest number of death (12 patients) was seen between 10-20 year old and also above 50. Poisons mostly used organophosphates – opiates and herbicides    successively , and other drugs and chemical came after them. The most common adverse effect leading to death was respiratory depression. In most cases toxicological examinations on dead body were negative, when the results of such examination were positive the majority of reports were about arsenic and methanol. The highest rate of death (55.3%) occurred in those patients who referredto the hospital more than 6 hours after poisoning.           The results showed that the rate of poisoning due to organophosphate insecticides and opiates are higher than other drugs in Hamadan.