A Clinical Study of Aluminium Phosphide Poisoning

ABSTRACT

The present prospective study 01'56 cases of Aluminium Phosphide (ALP) poisoning in Govt. Medical Collage Hospital Jammu, found out the prevalence of Deliberate self-poisoning self (DSP and accidental ingestion in young population in age group of 16-30 years. Male-female ratio was 1.03 1.00; having marital discord and family quarrels as prominent predisposing factors. The majority of patients had gastrointestinal (GIT) symptoms (73.2%), cardiac arrthymias (62.5%) and shock (53.3%). The commonest clectrocardiographic (ECG) abnormalities were tachycardia (96%), atrial fibrillation (58%) and venticular-ectopic (VE) beats (59%). The management was supportive in the form of stomach wash, intraravenous (I/V) fluids, dopamine, hydrocortisone, sodabicarbonate and assisted ventilation in intensive care unit (lCU) setting and mortality rate was 75%. The fatal dose was 300 to 600 mg and fatal period as 2 to 16 hours.