Diagnosis and Treatment of 100 Cases of Liver Poisoning

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v3i3.1038

Zhongfeng Cheng1, Kerun Cheng2, Xueqiong Duan1, Dejin Yang1, Yong Ye3

1. Department of Emergency Medicine, Affiliated Hospital of Yunnan University, Kunming 650021, Yunnan, China
2. Department of Clinical Medicine, West China School of Clinical Medicine, Sichuan University, Chengdu 610041, Sichuan, China
3. The First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, Yunnan, China


Objective — To analyze the diagnosis and treatment of hallucinic mushroom poisoning and provide evidence for the early diagnosis and treatment of mushroom poisoning. Methods — 100 patients included from May 2017 to April 2021 were analyzed, monitored the relevant laboratory indicators, counted the impaired organ function, and analyzed the efficacy of relevant treatment programs. Results — Among 100 patients with liver poisoning, in 11 cases of gastrointestinal poisoning, for 11.00%, disease course (5.32 ± 3.12) h; in 89 cases, neuropsychiatric poisoning occurred, for 89.00%, disease course (2.05 ± 0.61) h, among them, the neuropsychiatric poisoning patients accounted for the highest proportion, patients with gastrointestinal type have a long disease duration. Of the 100 patients with BHF poisoning, in 7 cases of nausea and vomiting, for 7.00%; in two cases of abdominal pain, for 2.00%; one case of severe diarrhea, for 1.00%; one case of gastrointestinal bleeding, for 3.00%; in 12 cases, for 12.00%; tears in 5 cases, for 5.00%; in 32 cases, for 32.00%; slow pulse in 13 cases, for 13.00%. Vision — 74 cases, Accounting for 74.00%.There were no abnormal changes in liver and kidney function indicators (ALT, AST, A S T, BUN, SCr, CK, CK-MB, LDH, WBC, Tbil, PTA, and Dbil) in 100 patients with vine liver bacteria intoxication, and no significant difference was found before and after treatment (P> 0.05). All the 100 patients with bovine liver bacteria poisoning recovered and were discharged after relevant treatment measures, with a cure rate of 100%, among which the neuropsychiatric hospital stay time was shorter than the gastrointestinal type (P <0.05). Will 100 poisoning patients according to the severity of mild group (mild, moderate) 78 cases, severe group 22 cases, the influence of both groups, mild group age, hypertension, diabetes, hyperlipidemia, high homocysteinemia are significantly lower than the severe group (P <0.05). Conclusion — most patients with neuropsychiatric damage, after taking timely treatment measures, the cure rate is quite large, including the toxic prognosis is affected by the factors such as age, basic disease history, with basic diseases of elderly poisoning groups need to pay special attention, when necessary, such as blood perfusion to ensure the cure rate.


mushroom, cow liver bacteria, poisoning, early diagnosis and treatment


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