一起民工饮用自泡药酒引起钩吻碱中毒事件的调查

Incident of gelsemine poisoning caused by migrant workers drinking self-made medicinal wine

摘要:
目的调查河源市一起民工聚餐发生中毒的原因，提出预防建议。
方法采用现场流行病学调查、临床诊断及实验室检测综合分析中毒原因。
结果饮用过自泡药酒的15人全部发病，发病潜伏期为0.5~1 h，饮酒量越多者发病更快、病情更重; 其中死亡3人，病死率为20%，未饮酒的2人未发病。经检测鉴定，民工当晚饮用剩下的大茶药根自泡药酒渣中含有钩吻碱。
结论该起中毒原因为含有钩吻碱的有毒植物大茶药自泡药酒饮所致。

Abstract:
ObjectiveTo investigate the causes of food poisoning at migrant labourers′ dinner, making suggestions to prevent similar poisoning incidents.
MethodsA combination of field epidemiological investigation, clinical diagnosis and laboratory test was made for comprehensive analysis on causes of the poisoning.
ResultsAll 15 migrant workers who drank the self-made wine fell prey to poisoning.The incubation period was 0.5 to 1 hours.Those drinking more had faster onset in worse condition and three of them died. The mortality was 20%.Two of them who did not drink were not ill.Detection and identification showed that the remaining wine the workers drank that night contained gelsemine.
ConclusionThe incident of food poisoning was caused by drinkding gelsemine-contained toxic plant wine of Gelsemium elegans.