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一起嘉兰植物中毒事件调查与毒素鉴定

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目的 对一起误食嘉兰植物引起的中毒事件进行流行病学调查和对采集的样品进行毒素定性定量检测.方法 利用描述性流行病学调查方法展开事件调查,结合血液生化指标对事件进行分析,查找可疑食物,利用超高效液相色谱-质谱(ultra-high performance liquid chromatography-tandem mass spectrometry,UPLC-MS/MS)对现场采集的嘉兰植物、剩余植物块茎、病人血液和尿液进行毒素定性定量检测.结果 通过流行病学调查和UPLC-MS/MS检测,确定此中毒事件是误食嘉兰植物引起.嘉兰植物根块中检测出秋水仙碱与秋水仙碱苷,含量分别为1.19 mg/kg和0.20 mg/kg;嘉兰植物茎中检出的秋水仙碱与秋水仙碱苷含量分别为0.16 mg/kg和0.02 mg/kg;剩余植物根块中检测出的秋水仙碱与秋水仙碱苷含量分别为207.17 mg/kg和17.22 mg/kg;病例2血液和尿液中均检测出秋水仙碱,含量分别为0.36 ng/ml和34.20 ng/ml;病例4血液和尿液中检测出的秋水仙碱含量分别为0.71 ng/ml和146 ng/ml.结论 该次中毒事件是由于患者误食嘉兰植物导致秋水仙碱中毒,此类中毒主要造成肝肾功能损害和胃肠道症状.
Investigation and toxin identification of a poisoning incident caused by Gloriosa superba L.
Objective To conduct an epidemiological investigation on a poisoning incident caused by eating Gloriosa superba L.by mistake,and to detect the toxins qualitatively and quantitatively in the collected samples.Methods Descriptive epidemiological survey method was used to investigate the incident.Combining with blood biochemical indicators,we analyzed the incident and found out the suspicious food.Ultra-high performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS)was employed to qualitatively and quantitatively determine the toxins in Gloriosa superba L.collected in the field,the remaining plant tubers and the patients'blood and urine.Results The epidemiological investigation and UPLC-MS/MS assay revealed that the poisoning incident was caused by eating Gloriosa superba L.by mistake.Colchicine and colchicoside were detected in the root of Gloriosa superba L.,with the contents being 1.19 mg/kg and 0.20 mg/kg respectively.The contents of colchicine and colchicoside detected in the stems of Gloriosa superba L.were 0.16 mg/kg and 0.02 mg/kg respectively.The contents of colchicine and colchicoside detected in the remaining plant tuber were 207.17 mg/kg and 17.22 mg/kg respectively.Colchicine was detected in both blood and urine of case 2,with the contents being 0.36 ng/ml and 34.20 ng/ml respectively.The contents of colchicine detected in blood and urine of case 4 were 0.71 ng/ml and 146 ng/ml respectively.Conclusion This incident results from colchicine poisoning due to patients'eating Gloriosa superba L.by mistake,and such poisonings mainly cause liver and kidney damage and gastrointestinal symptoms.

Gloriosa superba L.colchicineultra-high performance liquid chromatography-tandem mass spectrometrypoisoningtoxin identification

陈汝梅、黄小芹、段志敏、孙明月、阮燕明、林佶

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昆明医科大学公共卫生学院,云南 昆明 650032

云南省疾病预防控制中心,云南 昆明 650032

大理大学公共卫生学院,云南 大理 671003

嘉兰 秋水仙碱 超高效液相色谱串联质谱 中毒 毒素鉴定

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(2)
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