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3例患者(男2例,女1例),年龄分别为14、4、37岁,食用自采野生蘑菇1d后出现恶心、呕吐、腹痛、腹泻等急性胃肠道症状。经治疗上述症状无明显缓解,且出现肝及心肌损害。4d后3例患者均出现皮肤及巩膜黄染,实验室检查示ALT1101～6580U/L,AST715～1965U/L,TBil38.5～153.2μmol/L,DBil16.9～63.1μmol/L,IBil21.6～90.1μmol/L;LDH1036～2234U/L,CK-MB18～36U/L,CK30～669U/L。临床确诊为毒蕈中毒、肝衰竭。先后给予3例患者白蛋白透析、血浆置换及对症、支持治疗。住院14d后患者病情好转出院。
Three patients (2 males and 1 females) aged 14, 4, and 37 years old had acute gastrointestinal symptoms such as nausea, vomiting, abdominal pain and diarrhea after consuming wild mushrooms for 1 day. After treatment of the above symptoms no significant relief, and liver and myocardial damage. After 4 days, skin and scleral yellow stains were found in all the 3 cases. Laboratory tests showed ALT1101 ~ 6580U / L, AST715 ~ 1965U / L, TBil38.5 ~ 153.2μmol / L, DBil16.9 ~ 63.1μmol / L, IBil21.6 ~ 90.1μmol / L; LDH1036 ~ 2234U / L, CK-MB18 ~ 36U / L, CK30 ~ 669U / L. Clinical diagnosis of poisoning mushroom poisoning, liver failure. Has given three patients albumin dialysis, plasma exchange and symptomatic, supportive treatment. After 14 days, the patient’s condition improved and was discharged.