Abstract:Objective To retrospectively analyze the clinical data of acute poisoning cases in emergency intensive care unit (ICU) of our hospital, and to summarize the experience of diagnosis and treatment. Methods From February 2014 to August 2018, 310 cases of acute poisoning were collected in the emergency ICU ward of our hospital. They were divided into survival group and death group. Among them, 164 were male and 146 were female, with an average age of (39.2?±?4.7) years. The prognosis, severity of poisoning, risk factors of poisoning, treatment methods and organ function damage were analyzed. Results There were 291 cases in survival group and 19 cases in death group. The severity score of poisoning in death group was significantly higher than that in control group (P?0.05). There were significant differences between death group and survival group in poisoning risk factors such as poisoning time, poisoning pathway, poisoning types, poisoning causes and on-site treatment (P?0.05). The above factors were all prompted by multivariate logistic regression analysis. Relevant factors were met (P?< 0.05); mechanical ventilation (52.58%), hemoperfusion (23.55%) and tracheal intubation (12.90%) were the main treatment methods; lung (52.58%), brain (35.48%) and kidney (31.29%) were the main organ function injuries, and the incidence of MODS was high (39.68%). Conclusion Pathway of poisoning, cause of poisoning, time of on-site treatment and types of poisoning are the key risk factors affecting the severity and prognosis of acute poisoning patients. In clinical diagnosis and treatment, organ function damage should be reduced by on-site treatment, respiratory and circulatory support, blood purification and other means, to ultimately improve the treatment effect and success rate.