fish gall poisoning
Introduction
Introduction to fish gallbladder poisoning Fish gallbladder poisoning refers to an acute poisoning caused by eating fish bile. The daily eating of black carp, grass carp, carp, carp and squid, etc., has a certain toxicity. The toxicity of fish gallbladder is mainly caused by the damage of bile components on human cells and the sensitization of histamines. The fish gallbladder can cause poisoning regardless of raw food or cooked food. The amount of poisoning is related to the bile of fish gall. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious Complications: liver jaundice, hematuria, proteinuria
Cause
Causes of fish gallbladder poisoning
Mainly due to the application of fish gallbladder "clearing heat", "Mingmu", "killing cough and asthma", generally caused by raw fish bile, some cooked foods have milder symptoms, causing poisoned fish species have white fish, (grass) Fish, squid, herring, rice seeds, squid, baotou fish, etc., the weight of fish is generally about 2 to 3 kg, the number of edible fish galls varies from 1/2 to 10, although the individual weight of poisoning is individual. However, it is mainly related to the dosage. According to the Chinese pharmacy regulations edited by Nanjing College of Traditional Chinese Medicine, the amount of green broth is 1 to 2.5 g, but even the large fish broth is far more than this half, and the pediatric clothes are 2, and the adults wear 8 ~13 can cause death.
Prevention
Fish gallbladder poisoning prevention
There is no special antidote to the disease at present. It should be treated in a comprehensive way after treatment. The focus of treatment is on prevention and treatment of acute renal failure, early dialysis treatment, and cautions that people should avoid raw fish gall, and should go to the hospital as soon as possible after getting sick.
In some areas of China, people often have the habit of swallowing fish gallbladder to treat certain diseases. They believe that there are functions such as clearing heat and detoxifying, mingming eyes and coughing and relieving asthma. Therefore, the knowledge of fish gallbladder toxic should be publicized to the public. Harmful, do not indiscriminately eat fish gallbladder to treat certain diseases.
Complication
Fish gallbladder poisoning complications Complications, liver jaundice, hematuria, proteinuria
Heavier poisoning, liver, jaundice, liver pain, facial edema, oliguria, proteinuria, hematuria and anuria, low back pain and other urinary symptoms.
Symptom
Symptoms of fish gallbladder poisoning Common symptoms Gastrointestinal symptoms Abdominal pain Edema Diarrhea Cyan red urine protein convulsions coma jaundice renal failure
The onset is more urgent, more than 1 to 3 hours after taking the fish gallbladder, early mainly for gastrointestinal symptoms, advanced liver, kidney damage, see vomiting and abdominal pain, due to toxins caused by upper gastrointestinal mucosal lesions, so vomiting Heavier, more than 30 times a day, spit out food and even bile, sometimes with blood, abdominal pain is mostly burst, in the upper abdomen, not too heavy, diarrhea is light, indigestible, after the onset 1 to 2 days, the liver is swollen, liver function is impaired, jaundice occurs, and the toxin is mainly excreted by the kidney, so it is easy to cause necrosis of the proximal tubule and obstruction of the collecting duct, oliguria, urinary closure, urine protein positive, and microscopic examination. Red blood cells and granule casts, severe renal failure, increased non-protein nitrogen in the blood, reduced carbon dioxide binding, increased blood potassium, decreased blood chlorine, potassium, and more patients with fever, apathetic, easy to have elevated blood pressure in children Severe coma, dehydration, shock, repeated convulsions, and death.
The autopsy mainly showed mucosal edema in the upper part of the stomach and jejunum, hemorrhage, turbid swelling and degeneration of hepatocytes, renal tubular degeneration, necrosis, hemorrhage of the kidney nipple and renal pelvis, and edema in the heart, lung and brain.
Examine
Fish gallbladder poisoning
1, blood routine, urine routine.
2, liver function, kidney function test.
3. ECG examination.
Diagnosis
Diagnosis and diagnosis of fish gallbladder poisoning
According to the medical history, clinical manifestations and laboratory data is not difficult to make a diagnosis.
Because of the early onset of poisoning, there is severe abdominal pain, vomiting, and jaundice, so it is necessary to pay attention to the identification of cholelithiasis.
