论文部分内容阅读
1984年4月26日,某连队把选种后剩余的发芽马铃薯块削去芽苗,芽眼大部分未削干净,煮后食用。食后约1小时,就餐人员陆续发病,发生中毒症状者29人,其中并发过敏性皮炎者19人(占中毒人数65.5％),重症住院治疗7人。 本组患者临床症状轻者表现为咽喉部灼痒,上腹部烧灼不适,继有恶心或呕吐,腹痛或伴有腹泻,全身不适,体温37.5—38℃左右,经一般对症治疗,1 -3天痊愈。重者体温38℃～40℃,伴有头痛,四肢关节痛,呕吐、腹泻较频繁,3例有轻度脱水症状。7例住院患者化验检查:血白细胞13.3-15.4×109/L(13300～15400),中性80—87％,4例尿常规有少量脓球,便常规均阴性。经对症治疗后5～7天痊愈。 皮疹特征。本组轻症中毒患者22例中,并发不同部位皮疹者12例。重症中毒患者7例,均并发2-4处皮疹。皮疹形态:局部皮肤呈现大片状、鲜红色斑,表面散在粟粒状丘疹,局部干燥,皮温较高,压之退色。多呈椭圆形,小如鸡蛋,大如手掌,界限清楚,周围皮肤色泽正常。皮疹不对称散发于前胸、后背及四肢等处,一处单发或多处散发。自觉轻微胀痛,灼痒。经用扑尔敏、异丙嗉等抗过敏药物对症治疗后,于2～5天皮疹消失。不留痕迹。
April 26, 1984, a company selected after the remaining germinated potato blocks cut buds, bud eye most of the cut is not clean, boiled food. About 1 hour after eating, food workers gradually onset, symptoms of poisoning occurred in 29 people, including 19 cases of allergic dermatitis (accounting for 65.5% of the number of poisoning), severe hospitalization of 7 people. The symptoms of this group of patients with mild symptoms of throat burning, upper abdominal burning uncomfortable, followed by nausea or vomiting, abdominal pain or diarrhea, general malaise, body temperature 37.5-38 ℃, by the general symptomatic treatment, 1-3 days get well. Severe body temperature 38 ℃ ~ 40 ℃, accompanied by headache, limb joint pain, vomiting, diarrhea more frequently, 3 patients had mild dehydration symptoms. 7 patients hospitalized for laboratory tests: white blood cells 13.3-15.4 × 109 / L (13300 ~ 15400), 80-87% of the neutral, 4 cases of urinary routine a small amount of pus, they are routinely negative. After symptomatic treatment of 5 to 7 days cured. Rash features. In this group of 22 patients with mild poisoning, complicated with rashes in different parts of 12 cases. Severe poisoning in 7 patients, were complicated with 2-4 rash. Rash morphology: local skin showed large flakes, bright red spots, the surface scattered miliary papules, local dry, high temperature skin, the pressure of the fade. Most were oval, small, such as eggs, as large as the palm, clear boundaries, the normal color around the skin. Asymmetry rash distribution in the chest, back and limbs, etc., a single or multiple exudes. Slight slight pain, itching. After using chlorpheniramine, isopropyl 嗉 and other anti-allergic drugs symptomatic treatment, the rash disappeared in 2 to 5 days. Leave no trace.