一起家庭聚集性条盖盔孢菌蘑菇中毒事件调查  

Investigation of a family cluster poisoning incident caused by Galerina sulciceps mushroom

作　　者：赖福平 詹江珊 吴瑾 王庭刚 陆元兰 Lai Fuping;Zhan Jiangshan;Wu Jin;Wang Tinggang;Lu Yuanlan(Emergency Department,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遵义医科大学附属医院急诊科,遵义563000

出　　处：《中华劳动卫生职业病杂志》2024年第10期765-768,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：贵州省科技计划项目(黔科合基础-ZK[2022]一般655);遵义市科技计划项目(遵市科合HZ字(2022)242号);睿意急诊医学研究基金(22322012022)。

摘　　要：误食毒蘑菇中毒是中国食源性中毒死亡事件中最主要致死因素,以含有鹅膏毒肽致死性蘑菇中毒为主,因进展快、机制复杂和具有潜伏期等特点所致。临床上应早识别、早诊断、早治疗,对改善致死性蘑菇中毒预后尤为重要。本文通过对一起14例家庭聚集性含有鹅膏毒肽的条盖盔孢菌蘑菇中毒患者的临床特点、毒蘑菇鉴定过程及治疗经过进行分析,以提高首诊医师在毒蘑菇中毒早期救治中的识别能力,早期行蘑菇中毒集束化治疗,增加治愈率。Mushroom poisoning is the most important cause of death in food-borne poisoning in China,mainly caused by amanitin,which is caused by rapid progression,complex mechanism and latency.Early identification,diagnosis and treatment are important to improve the prognosis of fatal mushroom poisoning.This article analyzes the clinical characteristics,identification process and treatment of 14 patients with amanitin-containing Galerina sulciceps mushroom poisoning in a family,so as to improve the identification ability of the first physician in recognizing and managing early-stage mushroom poisoning,and to increase the cure rate through early bundle therapy of mushroom poisoning.

关 键 词：中毒 蕈中毒 鹅膏毒肽 条盖盔孢菌 种类鉴定 调查 

分 类 号：R155.3[医药卫生—营养与食品卫生学]