| خلاصه مقاله | In adults, the most common form of poisoning is voluntary and intentional intoxication. Drug poisoning is included about 20-15 percent of visits to the emergency room. The aim of this study was determine the acute pulmonary complications in patients with drug poisoning admitted to the emergency department of Sina hospital. In a descriptive and analytical study that performed in emergency department of Tabriz University of Medical Sciences of patients with drug poisoning, the acute pulmonary complications in patients whit drug poisoning admitted to the emergency department of Sina hospital evaluated. Of all cases referred to the emergency department whit the poisoning in one year were 3139 cases, which 939 of these patients were admitted and just 61 patients of them had pulmonary complications. 43 of patients were male and 18 of them were female. Mean age of male patients was 44.79±17.37 year and in female patients was 27.50±11.49 year (P=0.001). In 35 patients (57.4%) of patients, drug history was positive. In 13(21.3%) of patients, history of hospitalization due to drug poisoning was positive that in 8 patients with second drug poisoning and in 5 patients with several time of drug poisoning. Mean time of pulmonary complications outbreak in male patients was 3.69±2.37 day and in female patients was 3.66±4.11 day (P=0.971). 47(78.7%) of patients were intubated and underwent mechanical ventilation. Of 48 patients, 33 patients in emergency ward and 15 patients in ICU or General ward underwent intubation. Mean duration of hospital stay in male patients was 11.18±12.04 day in female patients was 10.77±10.16 day (P=0.900). 46(75.4%) of patients were alive and 15(24.6%) of them were dead, that of these 46 patients, 9 patients discharged and 32 patients referred to Razi hospital and 5 patients discharged with personal satisfaction. In our study, almost pulmonary complications in patients drug poisoning included pneumonia and especially was aspiration pneumonia, which is expected to consider the clinical condition. The two main risk factors in these patients, including loss of consciousness, intubation, and subsequently there is a connection to the ventilation that is common areas of the condition of the patients. |