急性菜豆角中毒35例临床分析

Clinical analysis of 35 cases with the acute food poisoning beans

目的探讨急性菜豆角中毒发生的流行病学特征、临床特点和治疗方法，并为预防救治此类疾病提供指导。方法回顾分析大同市第三人民医院急诊科2006年5月～2008年12月收治的35例急性菜豆角中毒患者的临床资料。结果所有患者在来诊5～20min内均得到输液及其他有效治疗，1～3h内症状缓解，2d症状消失，3d治愈出院，无1例延误诊治，亦未出现有溶血、休克等病情严重危及生命者。结论急性菜豆角中毒极易误诊为急性胃肠炎，目前暂无特效解毒剂。故避免误诊、早诊断、早治疗，是此类患者成功救治的关键；做好食品卫生宣教，嘱烹饪者将菜豆角煮沸约15min后再加工食用是预防中毒的重要措施。

Objective To explore the epidemiological characteristics, clinical features and treatment measures of the acute food poisoning beans and to provide guidance for prevention and treatment. Methods A retrospective analysis of 35 cases of acute food poisoning beans was studied between May 2006 and December 2008 in the emergency department of the Third Hospital of Datong City in Shanxi Province. Results All patients were treated with infusion and other effective therapy within 5-20 minutes. The symptoms were alleviated in 1-3 hours and disappeared in two days. On the third day, all of them were cured and discharged from the hospital. No hemolysis, shock and other serious life-threatening symptoms has been observed in this group. Conclusion General food poisoning beans can frequently he misdiagnosed as the acute gastroenteritis, without specific antidote. It would be critical for the patients with food poisoning beans to accurate diagnosis and treat timely. Prevention of food poisoning beans depends mainly on raising awareness of people, have the right cooking methods, it is necessary to thoroughly cooked.