一起毒蘑菇中毒事件的调查

Investigation on an incident of groups mushroom poisoning

目的对一起毒蘑菇中毒事件进行调查并对临床资料进行分析。方法采用描述性分析法对2016年7月发生在山东济南市的一起毒蘑菇中毒事件进行调查，同时对4例患者的临床资料进行分析总结，总结事故发生的原因及预防控制措施。结果这次急性毒蘑菇中毒，经鉴定为剧毒的肉褐鳞环柄菇中毒。中毒患者以消化系统症状为主，恶心、呕吐、剧烈腹痛，后期出现肝脏功能的损害。经过综合抢救治疗1例死亡，3例存活。死亡患者主要临床表现为肝衰竭为主的多脏器功能衰竭。结论经鉴定本中毒事件为居民误食以肉褐鳞环柄菇为主的毒蘑菇所引起的中毒事件。

Objective To investigate an incident of mushroom poisoning and related clinical data. Methods A descriptive analysis was performed to investigate an incident of poisonous mushroom poisoning in Jinan, Shandong Province, China in July 2016. The clinical data of four patients were analyzed and summarized, and the causes of this incident and prevention and control measures were summarized. Results This incident of acute poisonous mushroom poisoning was caused by Lepiota brunneoincarnata. The patients mainly had digestive system symptoms, including nausea, vomiting, and severe abdominal pain, and later developed liver damage. After comprehensive rescue treatment, one patient died and three survived. The main clinica/manifestation of the patient who died was multiple organ failure, especially liver failure. Conclusion This incident of poisoning was caused by Lepiota brunneoincarnata the residents ate by mistake.