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急性营养不良性脂肪肝中的过度全身性脂肪栓塞(作者译)

[Excessive generalized fat embolism in acutely dystrophic fat liver (author's transl)].

作者信息

Schulz F, Hildebrand E

出版信息

Med Klin. 1977 Jan 14;72(2):59-63.

PMID:834157
Abstract

We have reported about a 63 year old woman, who, 1 to 2 hours after a meal containing mushrooms, became acutely ill, sank into uncontrollable shock, and died 24 hours later. Autoptically was found an acute yellow liver dystrophy in a previously existing fatty liver. Etiologically an intoxication by Amanita phalloides could be excluded as well as any other exogenic intoxication. The cause of the acute liver dystrophy was most probably a fulminant virus hepatitis. The decay of the fatty liver cells led to an unusally severe generalized fat embolism, which morphologically is regarded as the cause of death.

摘要

我们曾报道过一名63岁女性,在食用含有蘑菇的餐后1至2小时,突然发病,陷入无法控制的休克状态,并于24小时后死亡。尸检发现,在先前存在的脂肪肝基础上出现了急性黄色肝萎缩。从病因学角度可以排除毒鹅膏中毒以及任何其他外源性中毒。急性肝萎缩的原因很可能是暴发性病毒性肝炎。脂肪肝细胞的坏死导致了异常严重的全身性脂肪栓塞,从形态学角度来看,这被认为是死因。

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