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食用含有雪卡毒素的珊瑚鱼而中毒的事件时有发生。现报告食用苏眉鱼后中毒病例2例并以讨论。1 临床资料1.1 一般资料雪卡毒素中毒病人2例,食入苏眉鱼及其肝脏后出现腹痛、腹泻。在外院诊断为急性胃肠炎,后出现头晕、乏力,四肢、颜面及舌部麻木感,为进一治疗转入我院。1.2 临床表现食入苏眉鱼后2 h 出现腹部阵发性绞痛、排稀水样便,伴恶心、呕吐。到当地医院就诊,诊断为急性胃肠炎,静脉点氨基糖苷类抗生素、输液对症治疗后腹痛有所好转,后出现头晕、乏力,四肢、颜面及舌部麻木感,第2 d 为进一步治疗转入我院。查体:心率减慢,血压降低,定向力差,全身瘙痒,肌肉酸痛,皮肤感觉异常,双下肢袜套样浅感觉减退,1例对于温度感觉倒错;生活理反射存在,病理反射
Incidents of poisoning occur when consuming coral fish containing ciguatoxin. Now report the case of poisoning after eating eyebrows Fusi 2 cases and to discuss. 1 Clinical data 1.1 General Information Ciguatoxin poisoning in patients with 2 cases, after eating the eyebrow and its liver abdominal pain, diarrhea. In the outpatient diagnosis of acute gastroenteritis, dizziness, fatigue, limbs, face and tongue numbness, into a treatment into our hospital. 1.2 clinical manifestations 2 hours after eating Crab Eyebrow paroxysmal abdominal cramps, row of watery stools, with nausea and vomiting. To the local hospital for treatment, diagnosis of acute gastroenteritis, intravenous aminoglycoside antibiotics, transfusion symptomatic treatment of abdominal pain has improved, after dizziness, fatigue, limbs, face and tongue numbness, 2d for further treatment of transfer Into our hospital. Examination: slow heart rate, low blood pressure, poor orientation, systemic itching, muscle soreness, skin sensory abnormalities, lower extremities socks feel like a sense of diminished, 1 case of temperature inversion wrong; life reflection exists, pathological reflex