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急性桐油中毒较易遇到,慢性桐油中毒甚为罕见。作者于1980年4～5月先后诊治了9例慢性桐池中毒患者,患者皆以下肢充血性浮肿和心功能不全为首发表现。今简报如下,以供临床参考。一、一般资料患者均为本县农民,一为全家7口人同时发病,其中死亡1例;另一户3口人仅父母发病,其哺乳期婴儿经检查未发病。患者皆因较长期食用了掺有桐油的花生油所致。一家的花生油是从赣县集市上买回的,经南康县卫生防疫站取样化验:该油中含桐油量占16％;另一家食用的花生油是因油槽刚榨了桐子油而未清洁就加工花生,故榨出的花生油中也杂有桐油。二、临床表现 8例患者起病方式均缓慢,先下肢充血性浮肿,继而出现心悸,气急等心功能不全征象。6例出现肝脏肿大,8例膝反射亢进,心电图检查均有心肌损害(尸解1例死于门诊就诊中,故未统计)。
Acute tung oil poisoning more easily encountered, chronic tung oil poisoning is rare. From April to May 1980, the author diagnosed and treated 9 cases of chronic Tong Chi poisoning patients. All patients were characterized by congestive edema of the lower extremities and cardiac insufficiency. This briefing is as follows for clinical reference. First, the general information of patients are farmers in this county, a family of 7 people at the same time the incidence of disease, of which 1 case of death; another 3 people only parents incidence of breastfeeding infants after the disease has not been diagnosed. Patients are due to longer-term consumption of tung oil mixed with peanut oil due. One of the peanut oil was bought from the market in Gan County. After sampling by the Nankang County Health and Anti-epidemic Station, the oil contained 16% of tung oil and the other edible peanut oil was not cleaned because the trough had just squeezed the tung oil On the processing of peanuts, so squeezed peanut oil is also mixed with tung oil. Second, the clinical manifestations of 8 patients with onset are slow, first lower extremity congestion edema, followed by palpitations, shortness of breath and other heart failure signs. 6 cases of liver enlargement, 8 cases of knee hyperreflexia, ECG damage in both cases (autopsy in 1 patient died of outpatient treatment, it is not statistics).