我院于1978年7月26～27日收治毒蕈中毒6例,连同院外诊治巳死亡一例,共7例,报告如下: 一、病例情况本组7例中男4例,女3例,年龄自11～58岁,其中一例26岁在哺乳期。 7例患者共食一锅蕈(其中有毒蕈经鉴定属“白毒伞”)。进食时间:6例为7月19日晚,一例为20日晨,经潜伏期12～72小时后出现频繁呕吐及腹泻呈米泔水样,于20～21日送当地医院对症处理其中一例11岁男孩,进食量虽多,但经当地医院治疗后症状缓解,于22日返家,当天自觉良好,23日又出现乏力、纳差、恶心、轻度腹泻伴发热(39℃)及黄疸,再送当地医院检查肝功能谷丙转氨酶400单位,黄疸指数40单位,24日下午出现腹胀、呕吐咖啡色液约3大碗,旋即进入昏迷、抽搐,于25日晨医治无效死亡。余6例均有不同程度的上腹不适、厌食、乏力乃转来我院。入院时检查:有低热、肝肿大、谷丙转氨酶升高(64～400单位),B.S.P.试验正常,凝血酶原时间14～17秒(奎克氏法),超声波示肝波为较密微小波到较密-密集 Our hospital in July 26-27, 1978 admitted to poisoning poisoning in 6 cases, together with hospital outpatient treatment has died in a case, a total of 7 cases, the report is as follows: First, the case of 7 cases in this group of 4 males and 3 females, age From 11 to 58 years old, one of the 26-year-old was breastfeeding. Seven patients ate a pot of mushrooms (including poisonous mushrooms identified as “white poison umbrella”). Feeding time: 6 cases on the evening of July 19, an example of 20 morning, after 12 to 72 hours incubation period was frequent vomiting and diarrhea rice water samples, 20 to 21 to the local hospital for symptomatic treatment of one case of 11-year-old boy , Although the amount of food intake, but after the local hospital treatment of symptoms, remission, returned home on the 22nd, good sense of the day, on the 23th appeared fatigue, anorexia, nausea, mild diarrhea with fever (39 ℃) and jaundice, and then sent to the local Hospital inspection of alanine aminotransferase 400 units, jaundice index 40 units, on the 24th afternoon there abdominal distention, vomiting brown liquid about 3 bowl, and soon into the coma, convulsions, died in the morning of the 25th treatment. I have more than 6 cases of varying degrees of abdominal discomfort, anorexia, fatigue is transferred to our hospital. Admission examination: a fever, hepatomegaly, elevated alanine aminotransferases (64 to 400 units), BSP test is normal, prothrombin time 14 to 17 seconds (Quaker’s method), ultrasound showed the liver wave is more dense Wave to more dense - dense