Mydlík M, Derzsiová K, Mizla P, Beno P
IV. interná klinika LF University P. J. Safárika, Kosice.
Cas Lek Cesk. 1993 Aug 5;132(15):464-7.
Fifty-eight patients with acute mushroom poisoning--Amanita phalloides were treated. Among them were 28 children and 2 adolescents. From all the patients mean age was 30.5 years, 31 patients were in hepatic coma. All patients undergone conservative treatment and haemoperfusion. The mean time from beginning of acute poisoning to the first haemoperfusion was 61 hours. Ninety-eight haemoperfusions were performed, from this number 26 using Amberlite XAD-2. Seventeen simultaneous or subsequent haemodialyses and 12 plasmaphereses were performed. Mortality occurred in 20 patients (34.5%). Survival of patients depended on the amount of ingested mushroom, on the early admission of patients to dialysis centre and on the beginning of extracorporeal treatment until the period of 24 hours after acute poisoning.
对58例急性毒蘑菇中毒（毒鹅膏菌）患者进行了治疗。其中有28名儿童和2名青少年。所有患者的平均年龄为30.5岁，31名患者处于肝昏迷状态。所有患者均接受了保守治疗和血液灌流。从急性中毒开始到首次血液灌流的平均时间为61小时。共进行了98次血液灌流，其中26次使用Amberlite XAD - 2。同时或随后进行了17次血液透析和12次血浆置换。20例患者（34.5%）死亡。患者的存活取决于摄入蘑菇的量、患者早期进入透析中心以及在急性中毒后24小时内开始体外治疗。
