朔州市一起曼陀罗引起食物中毒事件的调查
作者:
作者单位:

1.朔州市疾病预防控制中心,山西 朔州 036002;2.怀仁市疾病预防控制中心,山西 朔州 038399

作者简介:

李晓华 女 副主任医师 研究方向为食品卫生学 E-mail:iamlixiaohuahua@126.com

通讯作者:

韩世明 男 主任医师 研究方向为公共卫生 E-mail:sxszfyz@163.com

中图分类号:

R155

基金项目:


Investigation of poisoning incident caused by datura stramonium in Shuozhou city
Author:
Affiliation:

1.Shuozhou Center for Disease Control and Prevention, Shanxi Shuozhou 036002, China;2.Huairen Center for Disease Control and Prevention, Shanxi Shuozhou 038399, China

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    摘要:

    目的 对一起曼陀罗中毒事件进行调查,为今后类似事件的调查及防控提供参考依据。方法 参照《食品安全事故流行病学调查技术指南》和WS/T 3—1996《曼陀罗食物中毒诊断标准及处理原则》开展现场流行病学调查、食品卫生学调查、实验室检测和结果判定。结果 本次事件共有64人发病,患病率为60.95%(64/105),主要症状为口干、乏力、头痛、恶心、眩晕、瞳孔扩张、视物模糊、言语困难,平均潜伏期为2 h(0.5~5.5 h),在剩余的可疑食品黄糕和制作原料糕面、病例血液和呕吐物中检出阿托品和东莨菪碱,在黍子种植地发现曼陀罗的茎秆、果实及种子。结论 该事件为一起黍子收割时混进了曼陀罗而导致的食物中毒事件,提示应开展宣传教育,提高农民对野生有毒植物的鉴别能力,加强田间管理,在机械收割前应对有毒植物进行清理,避免此类事件再次发生。

    Abstract:

    Objective To provide reference for the prevention, control and investigation of similar incident in the future, a poisoning incident caused by datura stramonium was investigated.Methods According to “Technical guideline for epidemiological investigation of food safety incidents” and “Diagnostic criteria and principles of management for food poisoning of datura stramonium (WS/T 3—1996)”, on-site epidemiological investigation, food hygiene investigation, laboratory testing and results determination were carried out.Results Sixty four cases were poisoned in the incident with attack rate of 60.95% (64/105). The main symptoms were dry mouth, fatigue, headache, nausea, vertigo, dilated pupils, blurred vision and difficulty to speak. The mean incubation period was 2 h (0.5-5.5 h). Atropine and scopolamine were detected in the suspicious food remains (yellow cakes) and the raw glutinous broom corn flour, the blood and vomit of cases. The stalks, fruits and seeds of datura stramonium were found in the glutinous broom corn planting land.Conclusion The incident was a food poisoning incident caused by the glutinous broom corn being harvested with datura stramonium. It is suggested that publicity and education should be carried out to improve farmers’ ability to identify wild toxic plants. Strengthening field management and clean up toxic plants before mechanical harvesting is critical to avoid the recurrence of such incident.

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李晓华,潘奕夫,韩世明.朔州市一起曼陀罗引起食物中毒事件的调查[J].中国食品卫生杂志,2023,35(3):443-446.

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  • 收稿日期:2022-01-21
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  • 在线发布日期: 2023-05-24
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