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土耳其黑海地区的野生蘑菇中毒:6 年分析。

Wild mushroom poisonings in the Middle Black Sea region in Turkey: analyses of 6 years.

机构信息

Department of Emergency Medicine, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.

出版信息

Hum Exp Toxicol. 2010 Sep;29(9):767-71. doi: 10.1177/0960327110361758. Epub 2010 Feb 9.

Abstract

Wild mushroom poisoning (MP) is an important medical emergency that may have serious clinical outcome. The aim of this study was to evaluate the demographic and clinical features of patients with wild MP. This study was designed retrospectively by examining files of the patients with wild MP who were admitted to Ondokuz Mayis University Emergency Department, between January 2002 and December 2007. Patients > or =16 years of age were included in the study. A total of 317 patients poisoned by wild mushrooms (mean age, 42.0 +/- 16.3 years; 67.5% female) were studied. All poisonings were accidental, i.e. consumption of wild mushrooms collected from open fields and woodlands or purchased from local bazaars. The common symptoms and complaints on admission were nausea (86.8%) and vomiting (79.8%). The poisoning latent phase in most cases was <6 hours (86.8%). Most of the poisonings occurred in autumn (59.6%). Three patients died in the hospital due to acute liver failure and complications. The duration of hospitalization was a median 3 days (range: 1-12 days). The public should be informed about the probable hazards of wild mushroom ingestion.

摘要

野生蘑菇中毒(MP)是一种重要的医疗急症,可能会导致严重的临床后果。本研究旨在评估野生 MP 患者的人口统计学和临床特征。本研究通过检查 2002 年 1 月至 2007 年 12 月期间入住奥登纽兹梅伊斯大学急诊部的野生 MP 患者的档案进行回顾性设计。研究对象为年龄≥16 岁的患者。共有 317 名因食用野生蘑菇而中毒的患者(平均年龄 42.0±16.3 岁,女性占 67.5%)纳入本研究。所有中毒均为意外摄入,即食用从野外和林地采集或从当地集市购买的野生蘑菇。入院时常见的症状和主诉为恶心(86.8%)和呕吐(79.8%)。大多数中毒潜伏期<6 小时(86.8%)。大多数中毒发生在秋季(59.6%)。有 3 名患者因急性肝功能衰竭和并发症在医院死亡。住院时间中位数为 3 天(范围:1-12 天)。应向公众告知食用野生蘑菇的可能危害。

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