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本文报告10例小儿毒蕈中毒,均为鳞柄毒伞。男8例,女2例。年龄最小仅5月。9例经治后痊愈出院,1例死于肝昏迷。临床表现有腹痛(80%)、呕吐(100%)、腹泻(100%)、肝肿大(90%)、黄疸(70%)、肝昏迷(20%)。实验室检查示肝功能明显损害者7例(70%)。作者重点讨论中毒机理、临床分期、解毒剂(二巯基丁二酸钠)的应用。尤其指出要重视假愈期的治疗。最后指出要识别毒蕈与可食蕈。
This article reports 10 cases of children poisoning mushroom poisoning, are scales handle poison umbrella. 8 males and 2 females. The youngest only 5 months. Nine cases were cured after discharge, 1 died of hepatic coma. Clinical manifestations include abdominal pain (80%), vomiting (100%), diarrhea (100%), hepatomegaly (90%), jaundice (70%) and hepatic coma (20%). Laboratory tests showed that hepatic function was significantly impaired in 7 patients (70%). The author focuses on the toxic mechanism, clinical stage, antidote (sodium dimercaptosuccinate) application. In particular, we must pay attention to the treatment of false leave. Finally pointed out to recognize toadstools and edible mushrooms.