浙江省长兴县一起误食毒蘑菇中毒事件调查
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作者单位:

(1.长兴县疾病预防控制中心,浙江 湖州 313100;2.中国林业科学研究院 热带林业研究所,广东 广州 510520)

作者简介:

宿瑶瑶 女 医师 研究方向为食品安全风险监测 E-mail:15757209010@163.com

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基金项目:

广东省省级科技计划项目(2017B020205002)


Investigation on poisoning by mistaken eating of poisonous mushroom in Changxing Country, Zhejiang Province
Author:
Affiliation:

(1.Changxing County Center for Disease Control and Prevention, Zhejiang Huzhou 313100,China;2.Research Institute of Tropical Forestry, Chinese Academy of Forestry, Guangdong Guangzhou 510520, China)

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    摘要:

    目的 调查分析浙江省长兴县一起毒蘑菇中毒事件中毒蘑菇的种类,分析事件发生原因,总结调查处置经验,为中毒患者的救治和中毒的预防提供借鉴。方法 对中毒事件开展现场流行病学调查,对毒蘑菇样品进行形态学鉴定和分子系统学鉴定。结果 本次毒蘑菇中毒事件共发病3人,其中1例重症,2例轻症,罹患率为100%,主要临床表现为恶心、呕吐、腹泻等症状,其中1例经短暂“假愈期”后出现严重横纹肌溶解中毒症状,血清肌酸激酶(CK)最高达318 200 U/L。毒蘑菇样品经形态学及分子系统学鉴定为亚稀褶红菇。结论 本次事件是一起因误食亚稀褶红菇引起的毒蘑菇中毒事件。加强宣传教育,提升民众防范意识,提高医疗机构的诊断救治能力是预防毒蘑菇中毒的关键。

    Abstract:

    Objective To investigate the wild mushroom species causing a food poisoning in Changxing County, Zhejiang Province, analyze the causes of the incident and summarize the experience of investigation,purposed to provide references for prevention and proper treatment. Methods The epidemiological investigation, morphological identification and phylogenetic identification were used to analyze the poisoning event. Results Epidemiological investigation found that three patients were poisoned due to mushrooms picked by themselves, among which 1 case was severe and 2 cases were mild, and the attack rate was 100%. The main clinical manifestations were nausea, vomiting and diarrhea. One patient developed severe rhabdomyolysis poisoning after a short pseudo-recovery period. The highest level of serum creatine kinase (CK) was 318 200 U/L. The mushroom samples were identified as Russula subnigricans by morphological identification and phylogenetic identification. Conclusion This incident was a case of mushroom poisoning caused by accidental ingestion of Russula subnigricans. The key to prevent poisonous mushroom poisoning is to carry out publicity and education, enhance people's awareness of prevention and improve the ability of medical institutions to diagnose and treat poisonous mushrooms.

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宿瑶瑶,陈彬,许辉,施长苗,罗康.浙江省长兴县一起误食毒蘑菇中毒事件调查[J].中国食品卫生杂志,2019,31(5):493-497.

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  • 收稿日期:2019-08-22
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  • 在线发布日期: 2019-11-14
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