大理大学学报 ›› 2022, Vol. 7 ›› Issue (8): 75-78.

• 临床医学 • 上一篇    下一篇

急诊血液检验对野生菌中毒诊断的临床意义

姚昔友,王 进,詹学良,高 翔,徐文波,冯 磊*   

  1. (玉溪市人民医院医学检验科,云南玉溪 653100

  • 收稿日期:2021-05-27 修回日期:2021-10-12 出版日期:2022-08-15 发布日期:2022-09-16
  • 通讯作者: 冯磊,教授,博士,E-mail:yxy235ym@163.com。
  • 作者简介:姚昔友,主治医师,主要从事血液学检验及血液病诊断研究。

Clinical Significance of Emergency Blood Test in the Diagnosis of Wild Mushroom Poisoning

Yao Xiyou Wang Jin Zhan Xueliang Gao Xiang Xu Wenbo Feng Lei*   

  1. Department of Medical Laboratory People's Hospital of Yuxi City Yuxi Yunnan 653100 China

  • Received:2021-05-27 Revised:2021-10-12 Online:2022-08-15 Published:2022-09-16

摘要: 目的:分析野生菌中毒患者急诊血液检验结果,探究急诊血液检验对野生菌中毒患者诊断的临床意义。方法:将2020年6月1日至8月31日在玉溪市人民医院急诊科就诊,初步诊断为野生菌中毒疑似病例患者50例(疑似野生菌中毒组)和同期健康体检人群50例(健康体检组)纳入研究。比较两组受检者血常规、凝血功能、电解质、肝功能以及心功能等各项指标的变化。结果:与健康体检组相比,疑似野生菌中毒组受检者白细胞计数、中性粒细胞计数、中性粒细胞百分率升高,淋巴细胞计数、淋巴细胞百分率、单核细胞百分率降低,差异均有统计学意义(P<0.05);疑似野生菌中毒组受检者纤维蛋白(原)降解产物、D-二聚体水平升高,差异有统计学意义(P<0.05)。绝大多数野生菌中毒者的碳酸氢根离子浓度、肌红蛋白浓度降低。结论:血常规血象变化,纤维蛋白(原)降解产物和D-二聚体水平升高,碳酸氢根离子和肌红蛋白浓度下降,可以为轻症野生菌中毒者的诊断提供支持。

关键词: font-family:宋体, ">急诊血液检验;野生菌;中毒

Abstract: Objective: To analyze the results of emergency blood test in patients with wild mushroom poisoning, and to explore the clinical significance of emergency blood test for the diagnosis of patients with wild mushroom poisoning. Methods:This study included 50 suspected cases of patients who were initially diagnosed with wild mushroom poisoning in the People's Hospital of Yuxi City from June 1 to August 31, 2020(the group of suspected cases with wild mushroom poisoning), and 50 healthy physical examination people during the same period(the healthy examination group). The changes of routine blood examination, coagulation function, electrolytes, liver function and cardiac function were compared between the two groups. Results: Compared with the healthy examination group, the white blood cell count, neutrophil count and neutrophil percentage in the group of suspected cases with wild mushroom poisoning increased, while the lymphocyte count, lymphocyte percentage and monocyte percentage decreased. So the differences were statistically significant(P<0.05). The levels of fibrin degradation product and D-dimer in the group of suspected cases with wild mushroom poisoning increased, and the difference was statistically significant(P<0.05). The concentrations of bicarbonate ion and myoglobin decreased in the vast majority of patients with wild mushroom poisoning. Conclusion: The changes of hemogram in routine blood test, the increase of fibrin degradation product and D-dimer levels, and the decrease of bicarbonate ion and myoglobin concentrations can provide support for the diagnosis of mild wild mushroom poisoning.

Key words:  , emergency blood test; wild mushroom; poisoning

中图分类号: