16例鱼胆中毒致多器官功能障碍综合征的临床分析

A Clinical Analysis of 16 Patients with Multiple Organ Dysfunction Syndrome Due to Ingestion of Fish Gall Bladder

目的探讨口服生鱼胆致多器官功能障碍综合征(MODS)的临床治疗.方法:分析16例患者服生鱼胆后所致的急性肾功能衰竭、肝功能衰竭、心功能衰竭等两个以上脏器衰竭的临床表现和治疗.结果采用以透析疗法为主的综合治疗措施,16例患者中治愈14例,死亡2例,存活者随访至今健康,无后遗症.结论鱼胆中毒可导致肾脏、肝脏、心脏、胃肠道等多器官功能衰竭,其中肾脏是最易受损失的器官.早期透析可提高鱼胆中毒致MODS的生存率.

Objective To evaluate the therapeutic effects of dialysis regimen for multiple organ dysfunction syndrome （MODS） due to fish gall bladder poisoning. Methods 16 patients with acute renal failure, liver failure and heart failure caused by fish gall bladder poisoning were investigated. Results They were given synthetic treatments, especially dialysis. 14 patients of them recovered and were discharged from the hospital without any complication; while 2 cases died. Conclusion Ingestion of fish gall bladder leads to kidney damage, as well as liver, heart and gastrointestinal tract injury. Immediate dialysis is the most effective treatment.