Friedman Melissa A, Fleming Lora E, Fernandez Mercedes, Bienfang Paul, Schrank Kathleen, Dickey Robert, Bottein Marie-Yasmine, Backer Lorraine, Ayyar Ram, Weisman Richard, Watkins Sharon, Granade Ray, Reich Andrew
Mount Sinai Medical Center, Miami Beach, Florida 33140, USA.
Mar Drugs. 2008;6(3):456-79. doi: 10.3390/md20080022. Epub 2008 Aug 21.
Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients.
雪卡鱼中毒（CFP）是世界上报告最为频繁的海鲜毒素疾病，会对身体和功能造成重大影响。它会引发一系列胃肠道、神经和/或心血管症状，这些症状会持续数天至数周，甚至数月。尽管有报告称某些干预措施（如静脉注射甘露醇）可使症状有所改善，但许多医生对CFP的恰当治疗方法仍不清楚。我们回顾了有关CFP治疗方法的文献，包括随机对照研究和轶事报告。本文旨在为急诊室医生、中毒控制信息提供者、其他医疗服务提供者及患者阐明治疗选择，并提供有关CFP管理和预防的信息。
