摘要
目的 :探讨雪卡毒素中毒的原因、临床表现、治疗和预防。方法 :分析 2 5例中毒患者的临床资料并结合文献资料。结果 :雪卡毒素广泛存在热带、亚热带深海鱼中 ,其中石斑鱼、鲈鱼最常见 ,是鱼类通过食物链获得。中毒后经 2～ 10 h潜伏期 ,出现以急性胃肠炎为主的消化道症状和心血管症状 ,2～ 3d后伴有特征性、较持久的温度感觉倒错。结论 :中毒后以温度感觉倒错为特征 ,预后良好 ,病程 2～ 3wk,为避免中毒 ,建议勿食用重 1.5 kg以上的深海鱼 ,特别是鱼头和内脏。
Objective:To discuss the cause,clinical feature,diagnosis,treatmen and prognosis of ciguatera fish poisoning.Methods:Twenty five patients with ciguatera fish poisoning were observed and relevant literature history.Results:Ciguatera is a toxin related disease caused by ingestion of a variety of toxic fish living in tropical or subtropical areas.The toxi is produced by a microscopic dinoflagellate algae(gambierdiscus toxicus) and passed up the food chain.Symptoms usually begin 2～10 hours after eating a poisonous fish.The clinical symptoms of ciguatera poisoning can be classified into three broad groups:gastrointestinal symptoms、cardiovascular and neurological.Gastro intestinal symptoms were the first and most common complaint.Neurological symptoms generally begin 2～3 days after and stay for long time.The clinical feature is characterized by temperature reversa.Conclusion:The clinical feature is characterized by temperature reversa,course of diseases are 2～3 weeks and prognosis all right.In order to avoid poison,avoiding consumption of reef fish of 1.5kg weight is the best way to avoid ciguatera fish poisoning.
出处
《中国误诊学杂志》
CAS
2001年第1期42-44,共3页
Chinese Journal of Misdiagnostics
