患者女,12岁,因上感、咳嗽,于1987—08—26中午吞服一完整鲜鲤鱼胆(鱼重约3.25kg),0.5h后出现非喷射性呕吐,呕吐物为胃内容物,6h后出现面色萎黄、口唇发绀、四肢无力、意识尚清。经当地卫生院洗胃、对症处置后不见好转,于病后56h以“胆毒鱼类中毒”收入我院儿科病房。当时查体”全身皮肤黄染,巩膜黄染,咽充血,扁桃体Ⅱ°肿大,心率68次/min,无杂音,腹平软,弥漫性压痛(+),无反跳痛,肝肋下1cm,剑突下3cm,脾未触及,肝区叩痛(+),双肾区叩痛(+),周身无水肿,血压19.99/17.33kPa,尿常规:蛋白,红细胞4～15(每高倍视野,后同),白细胞5～12,颗粒管型0～1,上皮细胞2～4。24h尿量约0.2L,二氧化碳结合力 The female patient, aged 12, was swallowed with a complete fresh carp bile (fish weighs about 3.25kg) at noon on August 8, 1987 due to her feeling of flu and coughing. After 5 hours, she developed non-emetic vomit. The vomit was stomach contents, 6h after appear pale complexion, lips cyanosis, weakness, awareness is clear. Gastric lavage by the local hospitals, symptomatic treatment did not improve after the illness 56h to “poisonous fish poisoning” income in our pediatric ward. At that time physical examination "body skin yellow dye, scleral yellow dye, pharyngeal congestion, tonsil enlargement, heart rate 68 times / min, no noise, abdominal soft, diffuse tenderness (+), no rebound tenderness, 1cm in the xiphoid, 3cm in the xiphoid, no touch in the spleen, percussion pain in the liver area (+), percussion pain in the kidney area (+), no edema in the whole body, blood pressure 19.99 / 17.33kPa, urine routine: protein, erythrocytes 4-15 Vision, the same later), white blood cells 5 to 12, granular tube 0 to 1, epithelial cells 2 ~ 4.24h urine output of about 0.2L, carbon dioxide binding