急性鱼胆中毒致急性心肝肾功能损伤1例  

A case of acute fish bile poisoning with acute cardiac and liver and kidney lesion

作　　者：湛丽莎 杨国辉 ZHAN Lisha;YANG Guohui

机构地区：[1]贵州医科大学,贵阳550000 [2]贵州医科大学附属医院内科ICU

出　　处：《临床急诊杂志》2019年第11期905-907,共3页Journal of Clinical Emergency

摘　　要：1病例报告患者,女,40岁,因"恶心、呕吐、腹泻、腹痛1 d"入院。患者于2019年1月19日23:00吞服生草鱼胆4枚(每条约3 kg),约2 h后出现恶心、呕吐、腹泻,呕吐物为胃内容物,伴黄色稀水样便(约10次)、反酸、乏力、嗜睡。6 h后出现下腹绞痛,止痛后疼痛稍缓解,后因"急性食物中毒(鱼胆)"入我院治疗。否认胃肠道、心肝肾等疾病既往史。The acute fish bile poisoning can damage our cardiac,liver and kidney function,even lead to multiple organ dysfunction syndrome or multiple organ failure.A 40-year-old woman had serious nausea,vomit,diarrhea and abdomina pain after eating fish bile,and immediately went to hospital indicating cardiac,liver and kidney lesion.The integration therapy of hemoperfusion combined hemodialysis,small dose hormone,symptomatic and supportive had good curative effect.All of clinical symptoms disappeared after 10 days.Cardiac,liver and kidney function have recovered for the following month.

关 键 词：急性鱼胆中毒 急性心肝肾功能损伤 血浆灌流 血液透析 

分 类 号：R595.7[医药卫生—内科学]