Recently, the Yunnan Provincial Health and Wellness Committee once again sent a short message suggesting that "the fungus with a hat on its head, a skirt around its waist and shoes on its feet" is highly toxic and must not be eaten. In fact, this kind of wild fungus is called Amanita. After people eat it by mistake, the toxin enters the human body, and the organ function will change with time. There is no specific antidote, so it is very difficult to treat it.
Emergency Physician, Affiliated Hospital of Yunnan University: "Let me see if your foot is swollen? It’s still a little swollen, and my hands are swollen. When did it start to swell? "
Patient: "A few days after the injection and infusion."
The patient lying in the hospital bed is 54-year-old Wu Min (a pseudonym) from Luquan County, Kunming. A few days ago, she and her husband picked up three mushrooms in the mountains and took them home for cooking. After eating them, they were poisoned.
Wu Min’s husband: "We thought it was Momo (the local name for a wild fungus), so we took it back and ate it. After eating it, my wife vomited in the middle of the night. We called the children the next morning to take us to the hospital."
After eating bacteria, the couple had gastrointestinal reactions at different time periods, accompanied by dizziness. After the toxin of bacteria is absorbed into the blood from the digestive tract, the indexes of organ function have changed.
Li Ya, an emergency physician in the Affiliated Hospital of Yunnan University, said: "For example, the standard index of our hospital ranges from 41 to 73. For this patient, her index has reached 504, indicating that her renal function has been acutely damaged. You see that her index is also rising, and the poisonous bacteria have also caused damage to her heart function. Secondly, the normal person with alanine aminotransferase is the reference range of 7 to 40, but her value has reached 513, which is also many times higher."
The increase of alanine aminotransferase suggests that Wu Min (pseudonym) has abnormal liver function. Abnormal renal function caused her edema all over the body, and if she did not intervene in time, her life would be in danger.
Li Ya, an emergency physician in the Affiliated Hospital of Yunnan University: "We have taken some treatments to protect the liver and so on, and adopted purification treatment to purify the blood. At present, Wu Min’s liver function has improved, and her liver function index has dropped a lot compared with before, but the creatinine is still very high. We will continue to observe."
The situation of husband Wang Hong (pseudonym) is better than that of his wife, but the toxin of the bacteria has also damaged his liver function and needs further treatment. After identifying the pictures of wild mushrooms, the wild mushrooms eaten by Wu Min (a pseudonym) and his wife may be Amanita parvum, commonly known as Mantianxing, which belongs to poisonous mushrooms.
Emergency Physician, Affiliated Hospital of Yunnan University: "It may be necessary to continue blood purification tomorrow. The patient’s liver function is not very good now, because the bacteria he eats mainly damage the liver."
Patient’s family: "Look at his renal function?"
Emergency Physician, Affiliated Hospital of Yunnan University: "At present, renal function is ok."
Four days ago, Huang Ming ‘an (pseudonym) and his wife ate wild mushrooms together. In addition to boletus, there was suspected to be Amanita flavipectus.
Li Ya, an emergency physician in the Affiliated Hospital of Yunnan University: "After the bacterial poisoning, we consider that there is Amanita flavipectus in the miscellaneous bacteria. If the blood test is carried out, the liver function and related values of aspartate aminotransferase have all increased to more than 1,000, which still caused acute liver injury. After admission, we also gave him gastric lavage and catharsis to protect the organ function."
Toxins contained in highly toxic fungus seeds can’t be destroyed even if they are fried and cooked in Toya. At the initial stage, the cap of Amanita flavescens is nearly spherical or hemispherical, yellow or dirty yellow, which contains high amanita toxin and has a high mortality rate.
Cheng Zhongfeng, chief physician of the emergency department of the Affiliated Hospital of Yunnan University, said: "Amanita-like bacterial poisoning is mainly caused by amanita-titantoxin contained in the fungus, which mainly acts on the liver. If it is not intervened in time, it will lead to liver failure, which will be life-threatening."
Amanita poisoning has an incubation period of 10 to 24 hours, up to several days. The initial manifestations are nausea, vomiting, abdominal pain, diarrhea and other acute gastroenteritis symptoms. Some patients will have a "false recovery period". After poisoning, the symptoms will disappear for one or two days, and then the condition will suddenly change, showing the damage of liver, brain, heart and kidney.
Cheng Zhongfeng, Chief Physician of Emergency Department, Affiliated Hospital of Yunnan University, said: "After the fake recovery period, the liver injury will not stop, but will gradually increase, and may enter the explosive liver failure period. It will be very difficult to intervene in clinical treatment at this time, so early identification, early diagnosis and early blood purification treatment of Amanita poisoning are the most critical measures to rescue Amanita poisoning."
According to the doctor, most of the amanita poisoning comes from patients’ self-collection and self-feeding. Unusual bacteria can’t be curious, and they can’t try their own poison. In addition, it is best not to drink alcohol when eating mushrooms! Alcohol can promote the absorption of toxins, and may also react with toxins to produce new toxins, thus aggravating the symptoms of poisoning. At present, there is no simple way to accurately distinguish whether wild mushrooms are toxic or non-toxic, so everyone must be careful when eating wild mushrooms.
Cheng Zhongfeng, chief physician of emergency department of the Affiliated Hospital of Yunnan University, said: "Don’t eat unknown bacteria, don’t go to the mountains to pick up unknown bacteria at will, and cherish your health."
Reporter: Li Yulai Gao Mintao
Source: YNTV2 city barcode