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4例鹅膏菌中毒病例研究及毒物鉴定

[Study on 4 cases of mushroom poisoning with amanita and identification of poison].

作者信息

Hu J, Li H J, Meng Q F, Lai F P, Wang R L, Lu Y L

机构信息

Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China.

National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2023 Aug 20;41(8):622-625. doi: 10.3760/cma.j.cn121094-20220816-00403.

DOI:10.3760/cma.j.cn121094-20220816-00403
PMID:37667161
Abstract

Different kinds of poisonous mushrooms contain different toxic components. Acute liver injury caused by amanita mushroom is the main cause of death from poisonous mushroom poisoning in China. Consumption of poisonous mushrooms has an incubation period, there is a false recovery period in the clinical process, and the early performance is slight and does not attract enough attention from doctors, and it is easy to miss the treatment opportunity. The clinical characteristics, treatment and identification of mushrooms containing amanita in 4 patients were analyzed in order to improve clinicians' understanding of the diagnosis and treatment of mushroom poisoning and early species identification.

摘要

不同种类的毒蘑菇含有不同的有毒成分。在中国,鹅膏菌引起的急性肝损伤是毒蘑菇中毒致死的主要原因。食用毒蘑菇有潜伏期,临床过程中有假愈期,早期表现轻微,未引起医生足够重视,容易错过治疗时机。分析4例含鹅膏菌蘑菇中毒患者的临床特征、治疗及鉴别情况,以提高临床医生对蘑菇中毒诊治及早期菌种鉴别的认识。

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