一起工人误用工业化学品氟硅酸镁引起聚集性病例的流行病学调查
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(顺义区疾病预防控制中心,北京 101300)

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陈东宛 男 主治医师 研究方向为营养与食品卫生 E-mail:cdw69429040@163.com

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A magnesium silicofluoride poisoning incident caused by misuse of industrial chemicals
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(Shunyi District Center for Disease Prevention and Control, Beijing 101300, China)

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    摘要:

    年3月19日顺义区某工地食堂,多人午餐后短时间内陆续出现胃部灼烧感、恶心、呕吐等症状到医疗机构就诊。顺义区疾病预防控制中心应急人员为查明致病原因,控制疾病发展,减小疾病造成的危害,开展流行病学调查工作。方法 运用描述性流行病学方法,结合食品卫生学调查和实验室检验对致病原因进行调查,同时开展溯源调查。结果 调查显示患者临床症状主要为恶心、呕吐、头晕、胃部灼烧感,潜伏期为18 min,符合化学性物质造成中毒的特征;19日午餐为可疑餐次;厨师午餐制作前5道菜所用 “盐”状白色粉末为引起本次中毒可疑物质;对白色粉末化学成分进行分析为氟硅酸镁。结论 本次事故是一起厨师误将工业化学品当食盐引起的食物中毒,中毒人数32人。

    Abstract:

    On March 19th, many people hospitalized after lunch from a canteen of construction site in Shunyi District with symptoms of stomach burning sensation, nausea, vomiting and others. To find out the cause of disease development, control and reduce the disease harm. The emergency response unit of local CDC carried out epidemiological investigation.Methods Descriptive epidemiology, food hygiene survey and laboratory inspection was used to find out the cause, and traceability survey was also conducted. Results Investigation showed that the patients' clinical symptoms were mainly nausea, vomiting, dizziness, stomach burning sensation and the incubation period was 18 minutes, which was consistent with the characteristics of chemicals poisoning. The lunch meal was suspicious and the chefs used white powdery substance as salt to cook the first 5 dishes. Chemical composition of the substance was identified as magnesium silicofluoride and it was the major cause of poisoning.Conclusion The reason of 32 people poisoning was due to misuse of industrial chemicals by the chefs.

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陈东宛,李永进,刘秀峰,高彭,吕金昌,徐彦,甄国新,刘晓涛,朱春晓.一起工人误用工业化学品氟硅酸镁引起聚集性病例的流行病学调查[J].中国食品卫生杂志,2015,27(2):193-195.

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  • 在线发布日期: 2015-05-11
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