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生吃鱼胆中毒,国内属有报道,如广东龙川县人民医院曾报告生吃鱼胆中毒死亡3例(新医学1973年6期)。近年来我们遇见4例,因生吃草鱼胆中毒,其中2例病情危重,经西医抢救无效致死,另2例病情虽重,采用中西医结合抢救获效,现报道如下。〔例1〕郭姓,女,10岁。因病生吃草鱼(重2kg)胆1个,当日下午出现呕吐,腹泻,继而发热,次日吐泻加剧,并见阵发性惊叫、抽搐,于发病第4天住入我院。体检:体温37.3℃,发育营养中等,神志朦胧,身无黄染,瞳孔对圆,对光反射存在,颈稍抵抗,心肺阴性,腹软,肝右肋下触及,脾未触及,巴氏征阳性。化验:白细胞8.3×10~9/L,中性62％,嗜酸性3％,淋巴35％;尿蛋白(+),脓细胞(+),胆红质(-),脑脊液正常。血尿素氮10mmol/L,氯化物130mmol/L,钾2.9mmol/L,钠135mmol/L,血清GPT和GOT均250单位。心电图、X线胸透均正常。入院第1天尿量仅400ml/日,采用抗感染,
Health and eating fish gall bladder poisoning, there is a domestic report, such as Longchuan County People’s Hospital of Guangdong had reported 3 cases of raw fish gall bladder poisoning (New Medical 1973 6). In recent years, we met 4 cases, due to eating grass fish bile poisoning, of which 2 cases critically ill, died of invalid by Western medicine rescue, while the other two cases of severe illness, the use of integrated traditional Chinese and Western medicine rescue effective, are reported below. [Example 1] Guo surname, female, 10 years old. Due to sick grazing fish (weight 2kg) 1 gall bladder, vomiting, diarrhea, fever the next day, exacerbated the next day and see paroxysmal excitement, convulsions, admitted to our hospital the first 4 days. Physical examination: body temperature 37.3 ℃, the development of nutrition is medium, mind hazy, body without yellow dye, the pupil of the circle, the presence of light reflex, neck slightly resistant, heart and lung-negative, abdominal soft, right and right ribs contact, spleen not touched, Positive. Laboratory: white blood cells 8.3 × 10 ~ 9 / L, neutral 62%, eosinophilic 3%, lymph 35%; urinary protein (+), pus (+), bilirubin (-), cerebrospinal fluid normal. Blood urea nitrogen 10mmol / L, chloride 130mmol / L, potassium 2.9mmol / L, sodium 135mmol / L, serum GPT and GOT are 250 units. ECG, chest X-ray are normal. The first day of admission urine output was only 400ml / day, the use of anti-infection,