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[儿童期蘑菇中毒]

[Mushroom poisoning in childhood].

作者信息

Koloc C, Rechlin R, Gudowski G

出版信息

Kinderarztl Prax. 1979 Apr;47(4):169-74.

PMID:384072
Abstract

The authors describe frequency and importance of poisoning by Amanita phalloides. There are demonstrated the different toxins and their biochemical properties. The typical clinical symptoms of the intoxication by Amanita phalloides with vourse in two phases (1. gastrointestinal phase, 2. hepatonephrotic phase) are shown. The possibilities of diagnostic and differentialdiagnostic and the problems of therapy are discussed. It is pointed out, that in a modern treatment there must be given Penicillin-G-Natrium in high dosage as early as possible, also in cases of questionableness. Hemodialysis is only of effect till 40 hours after ingestion of Amanita.

摘要

作者描述了毒鹅膏中毒的频率和重要性。文中展示了不同的毒素及其生化特性。毒鹅膏中毒的典型临床症状分为两个阶段(1. 胃肠道阶段,2. 肝肾病阶段)。讨论了诊断和鉴别诊断的可能性以及治疗问题。文中指出,在现代治疗中,必须尽早给予高剂量的青霉素G钠,即使在存在疑问的情况下也是如此。血液透析仅在摄入毒鹅膏后40小时内有效。

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