患者男,25岁。因食自采野生蘑菇后呕吐、腹泻11小时入院。食后9小时出现恶心、呕吐、腹痛,腹泻水样便10余次,院外输液等治疗无效转入我院。体检:T38.5℃,R20次/min,P86次/min,BP100/60mmHg。巩膜黄染,心肺听诊无异常。剑突下压痛,肝脾肋下未触及,肠鸣音亢进。实验室检查:血常规正常,大便潜血阳性,谷草转氨酶10360U/L,谷丙转氨酶8460U/L,乳酸脱氢酶2610U/L,α-羟丁酸脱氢酶 Male patient, 25 years old. After eating wild mushrooms since the vomiting, diarrhea 11 hours admission. 9 hours after eating nausea, vomiting, abdominal pain, diarrhea, watery urine will be more than 10 times, hospital infusion and other treatments invalid transferred to our hospital. Physical examination: T38.5 ℃, R20 times / min, P86 times / min, BP100 / 60mmHg. Sclera yellow dye, cardiopulmonary auscultation no abnormalities. Xiphoid tenderness, liver and spleen ribs did not touch, bowel sounds hyperthyroidism. Laboratory tests: normal blood, positive fecal occult blood, aspartate aminotransferase 10360U / L, alanine aminotransferase 8460U / L, lactate dehydrogenase 2610U / L, α-hydroxybutyrate dehydrogenase