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乱用药材泡酒炖菜,三人乌头碱中毒

2017-08-23 09:05:57   中国青年网

中草药一直是泡制药酒、食补的重要选择之一,但是如果盲目的进行泡制药酒或食补,有可能达不到预期效果,反而会带来一些负面影响。

18日下午,重医附属永川医院就遇到两例因为食用川乌导致乌头碱中毒的事。其中,岳父和女婿喝川乌药酒中毒,另一位老奶奶因炖川乌食用中毒。

喝了药酒导致中毒

18日,永川来苏镇的张先生和岳父在家喝酒,两父子喝着喝着,发现床下有一瓶“陈年老酒”。

这瓶酒不知道是什么时候泡制的,里面泡制的中药也忘记了是什么药材,但两人开瓶就喝。

喝了没多久,两人感到嘴巴发麻,同时伴有头晕的情况。

意识到可能中毒,两人被送至当地医院进行洗胃,后因情况严重,被送至重医附属永川医院急诊科,于当晚10点半转至ICU抢救。

ICU医师王念称,通过检查,确定两人是因为乌头碱中毒。由于送至医院的时间比较久,加之两人是泡制药酒饮用,被吸收的速度比较快,部分毒性已经通过血液进入脏器,很难将毒素排除。

两人均有室性心律失常,并伴有室颤,情况十分危急。其中,由于张先生喝酒较多,情况比岳父要严重很多,经过近两小时的抢救,张先生才恢复心跳。

王医生称,即使抢救过来,因为长期缺乏供血,脑复苏依然是一个大问题,有可能会有脑损伤问题。

药材炖汤老人中毒

另外一位永川老奶奶也是因为乌头碱中毒住院。由于她是炖汤吃的,并且量比较小,相对前一对父子,老奶奶中毒程度较轻。

ICU主治医师唐泽称,老奶奶18日下午在家炖鸡汤时,往里面加了中药材,具体是什么药材,老奶奶已经记不起来。

当晚,老奶奶一家人在家吃饭。其他家人只喝了鸡汤,吃了鸡肉,只有老奶奶吃了几根鸡汤里面的中药材。

吃过饭以后,老奶奶感觉头晕、心慌,家人怀疑中毒,迅速将其送往重医附属永川医院。由于送医及时,通过洗胃和血透,老奶奶情况恢复较好。

21日下午,永川读本记者在ICU采访时,老奶奶神志清醒,已经可以自主表达。

但那对中毒的父子,仍处于重度昏迷的情况,女婿情况不容乐观。

食补要遵医生嘱咐

重医附属永川医院中医科主治医师杜平称,乌头碱是存在于川乌、草乌、附子等植物中的主要有毒成份,乌头碱有毒,口服0.2mg即可中毒,3—5mg可致死。

中毒表现为口舌及四肢麻木,全身紧束感等,引起易位起搏点的自律性增高而引起各心律失常,损害心肌。

由于草乌、川乌等含有乌头碱的药材具有祛风除湿的功效,民间有很多人用它们泡酒来治风湿。但川乌、草乌等只能外用,不能内服。部分药物中用的川乌、草乌是通过特殊方法炮制,能去除里面的有毒物质。

即使川乌药酒外用,也会通过皮肤吸收,杜医生称使用药酒外用,也一定要在医生指导下使用,避免过量造成中毒。

杜医生说,当下流行食补,但食补一定要咨询医生。同时,出现感冒情况一般不宜吃补药。而且,每个人身体情况不一样,食补不能盲目跟风,要根据自身实际情况。

本报记者 燕勇 实习生 尹浩铖

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