[卷边桩菇和暗褐桩菇的毒性]

[Toxicity of mushrooms Paxillus involutus and Paxillus atrotomentosus].

作者信息

Musselius S G, Ryk A A, Lebedev A G, Pakhomova G V, Golikov P P, Davydov B V, Donova L V, Zimina L N, Platonova G A, Selina I E, Skvortsova A V

出版信息

Anesteziol Reanimatol. 2002 Mar-Apr(2):30-5.

PMID:12226995

Abstract

Thirty-eight patients with mushroom (Paxillus involutus and Paxillus atrotomentosus) poisoning were treated. Slight poisoning (acute gastroenteritis) was diagnosed in 17 patients, medium-severe in 13, severe in 6, and extremely severe in 2 patients. Changes in the LPO-AOD system correlated with the severity of hepatorenal involvement. The treatment included hepatotropic therapy; patients with acute renal failure were treated by hemodialysis. Paxillus mushrooms induced functional evacuatory disorders in the small intestine. Eleven patients with adhesions in the abdominal cavity developed ileus. Two patients died: a man aged 26 years after eating fried (not boiled) mushrooms and a woman aged 76 years with ileus with symptoms of multiple organ dysfunction. The rest patients were discharged from hospital in satisfactory condition. Clinical course of poisoning with Paxillus mushrooms is discussed.

摘要

对38例牛肝菌（卷边牛肝菌和黑绒盖牛肝菌）中毒患者进行了治疗。诊断为轻度中毒（急性肠胃炎）的有17例，中度中毒的有13例，重度中毒的有6例，极重度中毒的有2例。脂质过氧化-抗氧化防御系统的变化与肝肾受累的严重程度相关。治疗包括保肝治疗；急性肾衰竭患者采用血液透析治疗。牛肝菌可引起小肠功能性排空障碍。11例腹腔粘连患者发生肠梗阻。2例患者死亡：1名26岁男性食用煎（未煮）牛肝菌后死亡，1名76岁女性因肠梗阻伴多器官功能障碍症状死亡。其余患者均康复出院。文中讨论了牛肝菌中毒的临床病程。