氰甙植物中毒,其中以苦杏仁中毒最多,此外还有苦桃仁、枇杷仁、李子仁、木薯。与食物中毒有关的化合物主要是苦杏仁甙和亚麻苦甙。苦杏仁甙主要存在于苦杏、苦扁桃、枇杷、李子、苹果、黑樱桃等果仁和叶子中,它是由龙胆二糖和苦杏仁睛组成的β-型糖苷。在苦杏仁中苦杏仁甙的含量比甜杏仁高20~30倍。亚麻苦甙存在于木薯、亚麻籽及其幼苗中,它是木薯中的蛀牙毒素性物质,可释放游离的氰化物。
The cyanium plant is poisoned with the most bitter almonds, in addition to the bitter almonds, the pea, the plums, the cassava. The compounds associated with the food poisoning are mainly almonds, the aphrodisiacs, and the aphrodisiacs. The almonds are mainly found in bitter almonds, the pebbles, the pebbles, the plums, the apples, the cherries, and the leaves. They are beta-sugars, made of iguana and almonds. They are 20 to 30 times higher in almonds than sweet almonds. They are found in casavas, seed and their seed seed. They are casssava, which is a toxic substance of cassava, which releases the cyanide that is lost.
(1)有毒成分及中毒机理:果仁的有毒成分为氰甙
(1) Toxic composition and mechanism of poisoning: cyanide is the toxic ingredient of fruit
(2)中毒原因:苦杏仁中毒多发生于杏熟时期,多见于儿童因不了解苦杏仁有毒,生吃苦杏仁而中毒。木薯中毒是因为群众不了解木薯的毒性,生食或食用未煮熟的木薯,或喝洗木薯的水、煮木薯的汤而中毒。
Cascava poisoning is caused by people’s lack of knowledge of the toxicity of cassava, the consumption of raw cassava, or the consumption of water to wash cassava, or the preparation of cassava soup.
(3)中毒症状:潜伏期短者半小时,长者12小时,一般多为1。2小时。苫杏仁中毒时,常见症状有口腔苦涩、流涎、头痛、头晕、恶心、呕吐、心悸、脉快、紫绀并瞳孔放大,对光反射消失,牙关紧闭,全身阵发性痉挛,最后因呼吸麻痹或心跳停止而死亡。患者呼吸时可有苦杏仁味。
(iii) Symptoms of poisoning: half an hour for the short lurking period and 12 hours for the older, usually a maximum of 1. Two hours. When the almonds are poisoned, the common symptoms are oral bitterness, salivation, headaches, dizziness, nausea, vomiting, convulsions, pulses, violets and magnification of the pupils.
(4)诊断:有食用苦杏仁或木薯史;呼出气体或呕吐物有苦杏仁味,以及迅速发生的神经、精神症状等,尿内硫氰酸盐增加。
(4) Diagnosis: There is a history of eating bitter almonds or cassava; there is a bitter almond smell of emitted gas or vomit, and there is an increase in vulcanic cyanide in urine as a result of rapid neurosis, mental symptoms, etc.
(5)急救与治疗:催吐、洗胃、解毒治疗,吸氧,重症病人可用细胞色素C、三磷酸腺苷(ATP)、辅酶A(CoA)、胰岛素静脉注射。
(5) First aid and treatment: catapult, stomachwashing, detoxification treatment, oxygen inhalation, patients with severe illnesses can use cytochrome C, triphosphate glands (ATP), auxiliary enzyme A (CoA), insulin intravenous injection.
(6)预防:向群众讲解苦杏仁、木薯中毒的知识,不吃苦杏仁、李子仁和桃仁。用杏仁做咸菜时,应反复用水浸泡,充分加热,使其失去毒性。千万不能生吃木薯。木薯要煮熟、蒸透后方可食用。
(6) Prevention: informs the public about almonds, cassava poisoning, and does not eat almonds, plums and peaches.
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