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我院最近遇到2例因食成鸭蛋产生葡萄球菌肠毒素所致食物中毒患儿,现报道如下,供参考。【例1】男,3岁。食成鸭蛋两个半,于进食后1小时出现剧烈呕吐,腹痛,呕吐物为胃内容物及清水、苦黄水,继而腹泻,为水样便,量多、腥臭味,未见脓血便。吐泻次数频繁,病后3小时出现高热、抽搐、神志不清。体格检查:体温40℃,血压测不到,脉搏152次/分,呼吸38次/分,意识不清,面色苍白,重度脱水貌,双眼不能闭合,皮肤弹性差,四肢冰冷,腹平软。末梢血;Hb111克/L,WBC9.4×10~9/L,N70％,L30％。大便镜检;RBC0～2、WBC0～
Our hospital recently encountered two cases of food poisoning caused by eating duck eggs produce staphylococcal enterotoxins, are reported below, for reference. [Example 1] Male, 3 years old. Edible duck eggs two and a half, 1 hour after eating, severe vomiting, abdominal pain, vomit for the stomach contents and water, bitter yellow water, and then diarrhea, watery stool, amount, stench, no pus and blood. Frequent vomiting and diarrhea, fever 3 hours after the illness, convulsions, confusion. Physical examination: body temperature 40 ℃, blood pressure can not be measured, pulse 152 beats / min, breathing 38 beats / min, unconsciousness, pale, severe dehydration appearance, eyes can not be closed, the skin elasticity is poor, cold limbs, abdominal soft. Peripheral blood; Hb111 g / L, WBC9.4 × 10 ~ 9 / L, N70%, L30%. Stool microscopy; RBC0 ~ 2, WBC0 ~