YANG Yuan-zheng, et al. Clinical study of severe acute mushroom poisoning with myocardial damage[J]. Journal of Chongqing Medical University, 2009,34(3):382-384.
YANG Yuan-zheng, et al. Clinical study of severe acute mushroom poisoning with myocardial damage[J]. Journal of Chongqing Medical University, 2009,34(3):382-384.DOI：
Objective:To explore severe acute mushroom poisoning with myocardial damage and the prognosis of the patient. Method: The clinical data of 18 cases of severe acute mushroom poisning treated from 1998 to 2007 in my hospital were collected and analyed retrospectively
and the biochemical indicators were compared. Results:18 cases of severe acute mushroom poisoning not only presented the gastrointestinal tract
liver
kidney toxicity
but particularly prominent cardiac toxicity
mainly as increase of myocardial enzymes
electrocardiogram changes and malignant arrhythmia. Given conventional detoxication
myocardial protection
anti-arrhythmia
blood purification treatment and so on
the patients showed a significant decline in serum concentrations of CR
BUN
ALT
AST
LDH
CK
CK-MB
and HBDH. The differences between pre-treatment and post-treatment indicators in both groups were significant (P<0.05). 2 patients died of ventricular tachycardia in the whole group. Conclusion:Severe mushroom poisoning have significant cardiac toxicity and easily cause malignant arrhythmia
is the leading cause of death. Blood perfusion
blood dialysis and other combined treatment
are significantly effective and improve the prognosis of the patients.
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