After the ambush, there is a small shower, and the wild mushrooms grow long and long.
Recently, two more families have entered the "ghost gate" due to accidental harvesting and accidental eating of wild mushroom poisoning, and the youngest poisoned patient is only 2 and a half years old!
Among the 5 poisoned patients, 4 were sent to the First Affiliated Hospital of Zhejiang University School of Medicine for rescue, and 1 person was not out of danger; the 2-and-a-half-year-old baby was sent to the Children's Hospital Affiliated to Zhejiang University School of Medicine for rescue, and his life and death are still uncertain.
At present, the number of people diagnosed by the first hospital of Zhejiang University for poisoning by eating poisonous mushrooms has soared to 13, the number of people in the calendar year! Emergency department experts once again remind: "Don't risk your life for a bite to taste!" This tragedy could have been avoided! ”
Circle of friends, short video real records
"New Discoveries in the Mountains" brought down two families
The two families who were poisoned were from Xiaoshan, Hangzhou, and one from Lin'an, Hangzhou.
Mr. Xu, a Xiaoshan native, loves yixing, and as soon as he has time, he takes his wife to hike and hike, a hobby that has been adhered to for more than ten years. On the morning of July 18, instead of following the regular trail, he and his wife climbed Hangzhou's Wuyun Mountain along a path, and when they saw "little white mushrooms" popping up from the mossy crevices on the road, they couldn't help but pick them.
Mrs. Xu picked more than a dozen "small white mushrooms" down the mountain, and at the same time sent a circle of friends - "new discoveries in the mountains".
Mrs. Xu's "Little White Mushroom"
After returning home, the two fried mushrooms and loofahs together for lunch, and in the evening, they "cleaned" all the uneaten loofah fried mushrooms. At 11 o'clock in the evening, Mr. Xu, who ate more mushrooms, had the first attack, vomiting up and down, dizzy, twenty or thirty trips to the toilet, so weak that he could only lie on the bed and hold the basin and vomit.
Mrs. Xu, who had mild symptoms, first sent Mr. Xu to a provincial hospital for treatment, and as the two people's condition continued to worsen, the hospital recommended that they be transferred to the First Hospital of Zhejiang University for further treatment.
Coincidentally, the three members of Uncle Cheng's family in Lin'an were also recruited because of a basket of "wild mushrooms" picked.
"These mushrooms have grown from snacks to large, and I never thought they would be poisoned this year!" In the early morning of July 16, Uncle Cheng, who went up the mountain to receive water pipes, found a large number of wild mushrooms, and he specially selected three kinds of black, gray and red to pick and take home. The harvest was very fruitful, and he also sent a short video with a beautiful soundtrack.
Wild mushrooms are delicious, and after cooking soup at noon, Uncle Cheng, who only tasted a few bites, was no longer willing to eat. Left a large amount of mushroom soup to my son and my 2 and a half year old grandson. Soon after eating a few spoonfuls of mushroom soup, the little grandson pulled three times of watery stool. Worried that the intestines of the children were not good, at dinner, the son ate all the rest.
At 9 p.m., the son, who had unbearable abdominal pain, began to vomit and diarrhea, insisting that the person had collapsed until noon the next day, and eventually, the three grandchildren were taken to the hospital. Cheng Dabo and his son were sent to the First Hospital of Zhejiang University for rescue, and the 2-and-a-half-year-old grandson went to the Zhejiang University Children's Hospital for treatment.
At present, the two families, Mr. Xu is still in the rescue, has not yet been out of danger of life, Uncle Cheng's little grandson in Zhejiang University Children's Hospital is still uncertain.
This is highly toxic, extremely deceptive,
Thought to be "gastroenteritis", in fact, has been liver damage
"Because these two batches of poisonous mushroom poisoning patients are extra busy!" Tong Yaling, attending physician of the emergency department, introduced that at about 4 p.m. on July 19, within an hour, the emergency department rescue room of the first hospital of Zhejiang University successively received two batches of 4 patients.
The symptoms were similar in these 4 patients: dizziness, vomiting, and excretion of watery stool every few minutes. Lu Yuanqiang, chief physician of the emergency department, quickly contacted Xu Xiaomin, an expert of the Provincial Center for Disease Control and Prevention, to work overtime on the weekend to conduct poison identification and testing, and an hour later, the blood and urine test results came out - Xu surnamed Xu and his wife were poisoned by amanita toxin peptides! Sure to eat the poisonous Amanita mushroom! Uncle Cheng's father and son have been poisoned for a long time and can no longer be detected.
"Among the common mushroom poisoning incidents in our province over the years, the most lethal and most toxic is this amanita peptide!" Lu Yuanqiang introduced that because it is a highly toxic mushroom, it is very easy to cause liver damage, and he instructed the relevant medical staff to immediately start plasma exchange and blood perfusion treatment program to remove toxins from the patient's blood.
At the same time, the Department of Internal Medicine carried out hepatoprotective treatment, and contacted Xie Jue, director of the Blood Transfusion Department, at the first time, to inform the patient of the condition and apply for a large amount of blood treatment.
In view of the increase in the number of mushroom poisoning patients, rescue needs to race against the clock, the department of blood transfusion immediately launched the hospital's clinical emergency blood work plan, and began to set up a discussion group on plasma exchange of mushroom poisoning patients, communicated with director Lu Yuanqiang of the emergency department to discuss the establishment of a standardized and effective "mushroom poisoning patient plasmapheresis clinical blood application process", the blood transfusion department duty personnel urgently used stock spare plasma according to the process to ensure the rescue of patients with blood, and at the same time reflected to the provincial blood center the actual situation of sudden large amounts of rescue blood. Patients who strive for blood protection have been rescued by blood transfusions for three consecutive times. Zhang Ping, chief physician of the Nephrology Center, led the blood purification center team to work overtime to help patients with plasma exchange, and each plasma exchange per capita was 1500 to 1700ml.
From June 30 to July 19, in the past 20 days, the emergency department of the First Hospital of Zhejiang University received 13 poisoned patients who were diagnosed with 6 cases of poisonous mushroom poisoning, of which 12 were urgently exchanged for the accidental consumption of poisoned Amanita bacteria, and 1 was considered to be gastrointestinal mushroom poisoning. This is also the highest and most concentrated incidence of poisonous mushroom poisoning in the past 10 years. Such intensive poisoning of Amanita amanita has also aroused the great attention of Chinese disease control experts, who have come to the mountains of Zhejiang to pick mushrooms to find out.
"Up to now, 12 poisoned patients have used up nearly 50,000 milliliters of plasma, and the amount of blood used is huge." Tong Yaling introduced that the accidental consumption of poisonous mushrooms usually takes 6 hours or even 24 hours to appear poisoning symptoms, and a very small number of symptoms appear earlier. At first, many poisoners with long incubation periods mistakenly believe that their symptoms are not related to the accidental consumption of poisonous mushrooms, but only "eat bad stomach".
Especially within 1-2 days, after the gastrointestinal symptoms disappear, the poisoned patient has no obvious symptoms again, which is particularly easy to cause an illusion of recovery, which is called the patient's "false healing period". As everyone knows, during this period, the toxin will secretly destroy the liver of the poisoned person. It binds to and disables an enzyme in the body responsible for producing new proteins. Without this enzyme, the cells no longer work, and the end result is liver failure. If you do not receive timely and accurate treatment, the poisoned person will soon have organ failure, shock, and finally death!
Emergency rescue within 24-72 hours
It is a golden time to save lives
"Recently, I have been treated with poisoned patients from poisonous mushrooms one after another, and as a doctor, I am very distressed, and these tragedies can obviously be avoided." How to compete with poisonous mushrooms for time? Director Lu Yuanqiang said that poisoning by poisonous mushrooms must be replaced within 24-72 hours, and the sooner it is treated, the greater the possibility of survival.
The First Hospital of Zhejiang University is the Zhejiang Provincial Poisoning Emergency Prevention and Control Center and the Zhejiang Provincial Poisoning Treatment Base, with the only secondary washing and elimination center in Zhejiang Province, and has many years of professional experience in the treatment of various types of poisoning. It led the establishment of the "PoisonIng Emergency Specialist Alliance of the First Affiliated Hospital of Zhejiang University School of Medicine"; it also led the establishment of the "Poisoning Branch of Zhejiang Medical Association", and successfully hosted the "Zhejiang Medical Association Toxicology Academic Conference" in 2019, and the success rate of treatment was leading the province.
Experts from the First Hospital of Zhejiang University said that the symptoms of poisoning of different types of poisonous mushrooms are different, and can be divided into 7 types: acute liver damage type, acute renal failure type, gastroenteritis type, neuropsychiatric type, hemolytic type, rhabdomyolysis type and photoallergic dermatitis type.
Among them, the main types of symptoms of highly toxic mushroom poisoning in our province are acute liver damage type, acute renal failure type and rhabdomyolysis type. In addition, after accidentally eating poisonous mushrooms, the mental symptoms caused by them are mainly manifested as salivation, tearing, hot flashes, delirium, insanity, visual and auditory hallucinations, etc.
There are more than 1,000 known species of poisonous mushrooms in the world, and there are about 435 species in China. Due to the variety of forms of wild mushrooms, it is very difficult for non-professionals to identify them based on experience alone, based on characteristics such as shape, smell, and color.
At present, there is no specific drug for the treatment of poisonous mushroom poisoning in the world, compared with early vomiting, gastric lavage, diarrhea, dialysis to reduce toxin absorption, symptomatic supportive treatment, "close the hand, control the mouth, do not pick and do not eat is the most correct and only way to prevent poisonous mushroom poisoning." ”
Experts are particularly reminded
After accidentally eating wild mushroom poisoning, you must not be careless, you must go to the hospital for examination and treatment in time, if you do not treat it in time and miss the best treatment period, it will bring irreparable losses!
Source: Qianjiang Evening News/Zhejiang 24-hour reporter Zhang Miao correspondent Wang Rui Jiang Chen
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