食用猪甲状腺中毒27例临床分析  

Clinical analysis of 27 cases of the pig's thyroid gland intoxication

作　　者：赵星海[1] 戴新泉[1] 孙伯青[1] 高履冰[1] 陈晖[1] 程刚[1] 宋志芳[2] 

机构地区：[1]昆山市中医院,江苏215300 [2]上海交通大学医学院附属新华医院,200092

出　　处：《中国急救医学》2008年第11期1018-1020,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的总结27例误食猪甲状腺组织引起急性中毒的临床表现、实验室检查特点、诊断思路及治疗。方法患者均为同一工地民工,持续8d在同一食堂食用含猪甲状腺的食物,停食6d后入院,主要表现为心血管、神经、消化、内分泌及泌尿系统的损害。血TF3、TF4异常升高,TSH降低。结果1例入院当天因室速、室颤死亡,其余26例经卧床休息、促毒物排泄、平衡电解质及控制心率等治疗,15d均恢复正常。结论甲状腺中毒治疗首要是排毒,急诊准确、详尽收集病史,综合考虑群体发病情况中的共同特点,进行快速、准确的诊断是治疗成功的关键。Objective To summarize clinical manifestation,laboratory findings, diagnosis and treatment of 27 people with acute intoxication by mis - eating the pig＇s thyroid gland. Methods The 27 patients were all peasant workers in the same building site. They ate continuously the foods rich in the pig＇s thyroid gland for 8 days in the same dining room before they were all hospitalized 6 days later. The main symptoms were the damage of the cardiovascular, neural, digestive, endocrine and urinal7 system,the abnormal high level of blood TF3 and TF4 , TSH level was low. Results 1 patient died from ventricular tachycardia and ventricular fibrillation the day he came to hospital. After taking the medicine, accelerating the excretion of poisonous substances, controlling the homeostasis and heart rate, the other 26 patients recovered after 15 days. Conclusion Accelerating the excretion of poisonous substances is of the first importance in such cases, and the quick and exact diagnosis by collecting details of suffering and the common points of group is the key to the successful treatment.

关 键 词：甲状腺 猪 中毒 

分 类 号：R155.3[医药卫生—营养与食品卫生学]