Sun C C, Jian T Z, Yu G C, Li Y Q, Jian X D, Kan B T
Department of Poisoning and Occupational Diseases, Emergency, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Sep 20;40(9):700-702. doi: 10.3760/cma.j.cn121094-20210520-00260.
Fish bile poisoning may damage human liver and kidney, causing degeneration and necrosis. Can also damage brain cells and heart muscle, resulting in nervous system and cardiovascular system lesions. This paper reports a case of a patient who developed multiple organ dysfunction syndrome (MODS) after oral administration of fish bile with Xiexin folk prescription for eye disease. In January 2020, he went to the poisoning and occupational diseases department of the emergency department of Qilu hospital. After receiving hemoperfusion, continuous renal replacement therapy (CRRT) and symptomatic support treatment, the patient was improved and discharged. CRRT combined with HP is one of the rapid and effective methods for the treatment of acute fish bile poisoning.
鱼胆中毒可损害人体肝脏和肾脏，导致变性和坏死。还可损害脑细胞和心肌，引发神经系统和心血管系统病变。本文报告1例患者因用泻心民间验方口服鱼胆治疗眼病后发生多器官功能障碍综合征（MODS）。2020年1月，患者前往齐鲁医院急诊科中毒与职业病科就诊。经血液灌流、持续肾脏替代疗法（CRRT）及对症支持治疗后，患者病情好转出院。CRRT联合HP是治疗急性鱼胆中毒的快速有效方法之一。
