论文部分内容阅读
霉变甘蔗中毒国内近年来报道较多。由于节菱孢霉菌污染繁殖,产生嗜神经毒素3—硝基丙酸,引起急性中毒性坏死脑病。病变波及中脑、前庭系统、锥体系及锥体外系。我院子1985~1987年曾对2例患者进行了脑干听觉诱发电位检查(BAEP),特报告如下。例1,女性,8岁,因食霉变甘蔗3h 后昏迷,伴频繁阵发性惊厥入院。住院后经治疗3d 抽搐停止,但仍半昏迷,6d 后神志转清,但已失语,住院第15d 患儿表情呆滞,反应差,作BAEP 检查,显示左V/I 波幅比值<1/2,右侧各波幅潜时明显延长,提示:①左侧中脑局限性病变,②右侧神经性耳聋。例2,男性,7岁,因食霉变甘蔗2h 后惊厥、昏迷入院,经治疗次日抽搐停止,但意识朦胧,伴阵阵烦躁不安,3d 后清醒。作BAEP 检查,显示右侧
Moldy sugarcane poisoning in China in recent years reported more. As a result of Pollenomycetes contamination breeding, produce neurotoxin 3-nitropropionic acid, causing acute toxic necrosis encephalopathy. Lesions affecting the brain, vestibular system, cone system and extrapyramidal system. Two cases of brainstem auditory evoked potentials (BAEP) were performed in our hospital from 1985 to 1987. The special report is as follows. Example 1, female, 8 years old, due to moldy sugar cane 3h after coma, with frequent paroxysmal convulsions admitted. After hospitalization, convulsions were stopped after 3 days of treatment, but remained semi-coma. After 6 days, consciousness was cleared, but the patient was aphasia. After 15 days of hospitalization, children with dull expression and poor response showed BAV and left V / I amplitude <1/2, On the right side of the latency was significantly longer, suggesting: ① left midbrain lesions, ② right deafness. Example 2, male, 7 years old, due to moldy sugar cane 2h after convulsions, coma admission, the convulsions stopped the next day treatment, but the dim consciousness, with bursts of restlessness, awake after 3d. Make a BAEP check, shown on the right