一起蘑菇致急性中毒事件的现场调查与鉴定  

Investigation of consciousness disorders caused by mushroom poisoning

作　　者：章轶哲 孙承业[1] 李海蛟[1] 孙健[1] 张宏顺[1] 马沛滨[1] 姚群梅 余成敏 

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]云南省楚雄州人民医院,云南省楚雄675000

出　　处：《中华急诊医学杂志》2016年第8期1012-1015,共4页Chinese Journal of Emergency Medicine

基　　金：国家自然科学基金青年科学基金（31501814）

摘　　要：目的调查分析云南省南华县一起蘑菇中毒事件的处置过程，鉴定引起中毒的毒蘑菇种类，为做好此类中毒事件的处置提供借鉴。方法收集事件病例资料、流行病学调查、对蘑菇样品进行形态学和分子生物学鉴定并对中毒事件进行分析。结果流行病学调查发现患者均食用自行采摘并炒制的蘑菇，食量不等，潜伏期2h，出现呕吐、抽搐、意识不清等神经精神型中毒症状，经形态学和分子生物学鉴定为假褐云斑鹅膏和小豹斑鹅膏。结论本事件是因误食名为假褐云斑鹅膏和小豹斑鹅膏引起的急性中毒。结合流行病学特点和患者临床表现，证实了通过形态学及分子生物学方法对假褐云斑鹅膏和小豹斑鹅膏的物种鉴定具有适用性。Objective To analyze a case of mushroom poisoning presenting coma occurred two hours after ingestion of mushroom from Nanhua County, Yunnan Province. Methods With the epidemiological investigation, clinical treatment data and suspicious mushroom samples, the case was discussed. Results The mushroom samples were identified as amanita pseudoporphyria and arnanita parviparttherirta. Conclusions According to epidemiology, clinical feature, morphological and molecular biological identification, this case can be confirmed to be a mushroom poisoning incident caused by more than one species.

关 键 词：假褐云斑鹅膏 小豹斑鹅膏 毒蘑菇 意识障碍 分子鉴定 

分 类 号：R595.7[医药卫生—内科学]