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요약정보
鹅膏菌属蘑菇中毒的临床特征分析 / Clinical characteristics of amanita mushroom poisoning
Resource Type
Academic Journal
Authors
李淑彤
;
刘娅荣
;
冯洋
;
梁明宇
;
刘艳娟
;
邹联洪
;
刘晶
;
樊麦英
;
Li Shutong
;
Liu Yarong
;
Feng Yang
;
Liang Mingyu
;
Liu Yanjuan
;
Zou Lianhong
;
Liu Jing
;
Fan Maiying
Source
实用休克杂志(中英文) / Journal of practical shock
. 5(2):98-104
Subject
鹅膏菌;蘑菇中毒;临床特征
Language
Chinese
ISSN
2096-4544
Online Access
Find it @ DONGA
초록
目的 分析鹅膏菌属蘑菇中毒的临床特征,为临床快速诊断提供有效依据.方法 分析湖南省某医院急诊科2013年至2020年收治的68例鹅膏菌属蘑菇中毒患者的临床资料.结果 鹅膏菌蘑菇中毒的潜伏期(从食用毒蘑菇到出现中度症状的时间)主要集中在6到12h,病程为3d,住院时长集中在7d,患者最初表现为恶心呕吐、腹痛腹泻等胃肠道症状.随着病情的发展,患者多个器官或系统受到损害(以肝、肾损害为主),严重者导致死亡.鹅膏菌中以裂皮鹅膏菌最常见,临床分型以肝、肾损伤型居多.此外,与正常人相比,鹅膏菌蘑菇中毒患者ALT、AST、N等生化指标变化明显.结论 鹅膏菌蘑菇中毒是湖南省蘑菇中毒事件的重点监测事件,熟悉鹅膏菌的临床特征表现对降低鹅膏菌蘑菇中毒患者死亡率,改善患者预后非常重要.
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