一起误食野生植物常山中毒事件的调查分析
作者:
作者单位:

1.重庆市武隆区疾病预防控制中心,重庆 408500;2.中国疾病预防控制中心职业卫生与中毒控制所, 北京 100050;3.重庆市武隆区仙女山街道社区卫生服务中心,重庆 408500

作者简介:

叶建 男 主治医师 研究方向为职业卫生与中毒 E-mail:496431036@qq.com

通讯作者:

章轶哲 男 副研究员 研究方向为分子生物学鉴定 E-mail:zhangyz@niohp.chinacdc.cn

中图分类号:

R155

基金项目:


Investigation and analysis of a poisoning outbreak caused by the wild plant Dichroa
Author:
Affiliation:

1.Wulong District Center for Disease Control and Prevention, Chongqing 408500, China;2.National Institute for Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China;3.Chongqing Wulong District Xiannushan Street Community Health Service Center, Chongqing 408500, China

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    摘要:

    目的 通过调查处置一起误食野生植物常山致常山碱中毒的事件,为常山碱中毒临床救治和预防提供参考依据。方法 通过流行病学调查、卫生学调查、实验室检测、形态学和分子生物学鉴定确定中毒原因,结合临床症状、治疗用药和患者治愈情况总结中毒治疗经验。结果 根据常山的植物学鉴定和分子生物学鉴定结果,该起中毒事件的标本鉴定为云南常山,中毒物质为常山碱,食用人群罹患率100%,中毒临床表现为恶心、呕吐、腹泻和里急后重等胃肠道症状,给予补液、护胃、补钾及广谱解毒治疗后24 h内痊愈,无迟发型其他症状。结论 本次事件为一起误食新鲜云南常山致常山碱中毒引起的中毒事件,此前国内未见直接食用新鲜云南常山中毒事件报告,为类似中毒事件的预防、临床救治提供重要的参考价值。

    Abstract:

    Objective A dichroine poisoning outbreak caused by the accidental ingestion of fresh Dichroa yunnanensis was investigated and resolved, which can provide scientific support for the clinical treatment and further prevention of dichroine poisoning.Methods A systemic epidemiological investigation, hygiene investigation, laboratory tests, morphology analysis, and molecular identification of the plant were conducted soon after the incident, and poison treatment consisted of evaluating clinical symptoms, giving therapeutic drugs, and achieving a patient cure.Results Based on the botanical and molecular biological identification results of Dichroa yunnanensis, the sample involved in the poisoning incident was confirmed to be Dichroa yunnanensis, Yunnan Province. The toxic substance responsible for the poisoning was an alkali from Dichroa yunnanensi, with a 100% effect rate among individuals who consumed it. Clinical manifestations included mainly nausea, vomiting, diarrhea, tenesmus, and other gastrointestinal symptoms, which abated within 24 h of fluid rehydration, stomach protection, potassium supplementation, and broad-spectrum detoxification treatment, without additional symptoms.Conclusion This incident of dichroine poisoning was caused by the accidental consumption of fresh Dichroa yunnanensis. As no D. yunnanensis poisoning case has been reported previously in China, this report has important reference value for the prevention and clinical treatment of similar poisoning events in the future.

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叶建,章轶哲,杨静,刘兴建,张红英.一起误食野生植物常山中毒事件的调查分析[J].中国食品卫生杂志,2023,35(12):1805-1809.

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  • 收稿日期:2022-07-09
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  • 在线发布日期: 2024-04-03
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