急性毒蕈中毒致严重肝功损害的临床分析  

Clinical Analysis on Serious Liver Damage of Acute Mushroom Poisoning

作　　者：杨莹[1] 朱思奇[1] 周启棣[1] 

机构地区：[1]北京大学深圳医院急诊科,518000

出　　处：《岭南急诊医学杂志》2016年第4期346-348,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:总结鹅膏蕈中毒的临床特点、毒理学及治疗方法。方法:回顾性分析我院2012年2月-2014年4月收治的急性毒蕈中毒患者6例的临床资料。结果:6例患者均出现呕吐、腹泻、腹痛等胃肠炎症状,进而出现严重肝功能损害,存活2例(33.3%),死亡4例(66.7%)。结论:鹅膏蕈中毒病死率高,彻底洗胃清除毒物、尽早使用解毒药物及血液净化是救治关键,肝移植是最有效的治疗方法。Objective ： To summarize the clinical characteristics, toxicology and treatments of the acute amanita poisoning induced liver injury. Methods ： The clinical data of 6 patients with acute amanita poisoning were analyzed retrospectively. Results ： 6 patients after acute mushroom poisoning appeared gastroenteritis symptoms such as vomiting, diarrhea, abdominal pain, and severe liver function damage. 2 cases were alive, and the survival rate was 66.7%, while 4 cases were died, the mortality rate was 66.7%. Conclusions ： In the amanita poisoning,fatality rate is high, the gastric lavage completely removing toxins, using drug detoxification and blood purification as soon as possible are the keys of treatment, liver transplantation is the most effective treatment method.

关 键 词：鹅膏蕈 水飞蓟宾 肝移植 

分 类 号：R595.7[医药卫生—内科学]