论文部分内容阅读
民间流传鱼胆能治目疾、气管炎等病。但生吞鱼胆常可引起中毒,重者可因急性肾功能衰竭而死亡。我院自1975年6月至1978年2月收治3个误诊为急性黄疸型肝炎的急性鱼胆中毒病例,现报告于后,以引起重视。一、临床资料:本文3例,2例因目疾、1例因慢性气管炎,分别在出现中毒症状前的1~3小时生吞鱼胆1、2和4个(鱼大小为7至10余斤)。2例治愈,一例经辗转3个医院诊治,因病史不清,未能及时确诊、抢救而死亡。临床表现本文3例均无发热。于生吞鱼胆后3小时内出现腹痛、呕吐,腹泻等症状,腹痛位于中上腹或右上腹,系隐痛或绞痛。但体征不明显,仅上腹部有轻度压痛。呕吐较突出,呈频繁剧吐,甚至干呕。腹泻较轻,一日约1~5次,伴轻度腹胀。此3例分别在服鱼胆后的1、3和
Folk fish can cure diseases, bronchitis and other diseases. However, raw fish can often lead to poisoning gills, severe cases of death due to acute renal failure. Our hospital from June 1975 to February 1978 admitted to 3 cases of acute jaundice misdiagnosed acute gallstone poisoning cases, are reported later, to attract attention. First, the clinical data: This article 3 cases, 2 cases due to disease, 1 case of chronic bronchitis, 1 to 3 hours before the onset of symptoms of poisoning 1, 2 and 4 of the fish devoured fish (fish size of 7 to 10 Yu jin). Two cases were cured, one case was removed three hospitals for diagnosis and treatment, due to ill-defined history, failed to timely diagnosis, rescue and death. Clinical manifestations of this three cases were no fever. In the raw fish devour within 3 hours after abdominal pain, vomiting, diarrhea and other symptoms, abdominal pain located in the upper abdomen or upper right abdomen, the Department of pain or angina. However, the signs are not obvious, only slight tenderness in the abdomen. Vomiting is more prominent, was frequent vomiting, and even retching. Diarrhea light, about 1 to 5 times a day, with mild abdominal distension. The 3 cases were in the fish after the gall bladder 1, 3 and