一起灰花纹鹅膏引起的食物中毒事件调查

An investigation of a food poisoning incident caused by Amanita fuliginea

误采、误食毒蘑菇可引起急性中毒,2020年8月青岛市中医医院处置一起毒蘑菇中毒事件,对所有中毒患者进行流行病学调查,收集可疑食物、临床表现、临床化验结果和治疗情况等资料,对蘑菇进行形态学鉴定后,鉴定为灰花纹鹅膏中毒。该起事件共有6人进食灰花纹鹅膏,其中4人发病,潜伏期6~12 h,临床表现为恶心、呕吐和腹泻等胃肠道症状,肝肾损伤,经过对症支持治疗、血液灌流或连续性血液滤过治疗等救治方案后,患者均治愈出院。建议加强针对毒蘑菇中毒的科普教育,提高基层医疗机构的毒蘑菇鉴别与临床救治能力。

Mistakenly picking and eating poisonous mushrooms can cause acute poisoning.In August 2020,Qingdao Hospital of Traditional Chinese Medicine handled a poisonous mushroom poisoning incident,conducted epidemiological investigation on all poisoned patients,collected suspicious food,clinical manifestations,clinical test results and treatment conditions,and identified the mushrooms as Amanita fuliginea poisoning after morphological identification.In this incident,6 people ate grey goose paste,of which 4 were sick with a incubation period of 6~12 h.The clinical manifestations were gastrointestinal symptoms such as nausea,vomiting and diarrhea,liver and kidney damage.After symptomatic support treatment,hemoperfusion or continuous hemofiltration treatment,the patients were cured and discharged.It is suggested to strengthen the popular science education on poisonous mushroom poisoning and improve the ability of identification and clinical treatment of poisonous mushrooms in grass-roots medical institutions.