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食用柞蚕蛹(俗称茧蛹)引起的柞蚕蛹性脑病,临床少见。现将我院近2年收治的5例报告如下: 本组5例男3例,女2例。年龄21～43岁。柞蚕蛹为市场所售,经炒、煮加工后食用。每人食用3～14个。食用后在半小时至9小时内发病。每次同餐者3～6人,仅1人发病。2例有饮酒史,均出现昏迷。 1.临床表现头晕5例,恶心呕吐5例,言语不清5例,走路不稳5例,视物模糊1例,呼吸困难1例,谵语躁动2例,昏迷2例,尿潴留1例,眼球震颤2例,肌张力增高3例,病理反射3例。 2.辅助检查本组5例血、尿、便常规,肝
Edible tussah pupa (commonly known as cocoon pupae) caused by tussah pupa encephalopathy, clinical rare. Now hospital for nearly 2 years admitted to 5 cases are as follows: This group of 5 patients, 3 males and 2 females. Age 21 ~ 43 years old. Tussah pupa for sale in the market, the fried, cooked food processing. Each person consumed 3 to 14. Within half an hour to 9 hours after eating onset. Each meal with 3 to 6 people, only 1 incidence. 2 cases of drinking history, are coma. 1 clinical manifestations of dizziness in 5 cases, 5 cases of nausea and vomiting, 5 cases of unclear speech, walking instability in 5 cases, blurred vision in 1 case, dyspnea in 1 case, vernacular irritability in 2 cases, coma in 2 cases, urinary retention in 1 case, 2 cases of nystagmus, 3 cases of increased muscle tone, pathological reflex in 3 cases. 2. Auxiliary examination The group of 5 cases of blood, urine, then routine, liver