娆℃ㄥ癸灏捐藉锛

杩锛濯浣杩缁ラ澶璧峰涓哄灏惧妯汗婧惰В缁煎寰浜浠讹棰搴技涔澶浜骞淬ラ涓澶娑瀵逛绉剧浠ュ棰茬ョ浠缁锛惰讳涓涓ｄㄩ冲ョ寰澶璇

棰涓浜浠朵寮绠￠ㄩㄧ瑙姣濡锛骞夸椋绠″灏卞灏炬璐瑰烘绀?锛板ラ锛绀虹烘瑰

1. ¤椋灏惧锛灏跺虹ㄨ韩灞ㄨ哥锛瑕跺板婚㈠氨汇

2. 澶灏遍灏炬讹搴╂椋缁ヨ璇锛椁楗¤璇锛浣杩琛娑璐广缃缁璁㈣喘灏炬讹涔瑕纭渚椁浣璧璐ㄣ涓瑕璐拱琛澶存ㄦ璐╂璇缁ュ浣灏俱

3. ㄨ椋灏炬讹搴浠缁瑙瀵灏剧韬锛╁熬ㄨ锋茬灏捐椋涓瑕杩椋瀹寮甯哥灏俱灏捐借川锛借川璐ュ浜轰ュ悍浼甯ュ澶ф瀹筹姝や瑕杩椋椁灏俱涓瑕杩ㄥ撅灏ゅ舵灏捐浜猴瑕靛尽缇璇辨锛垮杩ч╀腑姣

4. 濡归オ灏撅骞夸椋绠″寤鸿锛ㄦ姘存蹈娉★筹涓讹锋骞插锛楂娓╃椋ㄣ

骞夸椋绠″娑璐规绀哄浜查ㄥ惧寸妯汗婧惰В娌℃ㄥ

绛妗

涓轰涔杩涔璇村杩璁╂浠ヨ璇涓涓杩绉

杩椋灏惧存í绾硅婧惰В缁煎寰锛涓杩╀腑姣涓绉

2010骞达涓界剧棰插朵腑蹇纭ㄥ浜杩椋灏惧虹妯汗婧惰В缁煎寰渚灞浜ㄥ介涓琚О涓衡Haff椋婧х剧锛诲涓涔娴烽稿虫í绾硅婧惰В缁煎寰锛姝よ椋灏惧杩绉剧涔绉颁负灏剧稿虫í绾硅婧惰В缁煎寰

杩涓杩涓叉涓甯哥楂澶т锛跺ㄧ戒圭璇璇村氨杩绉椋╀腑姣

椋╀腑姣锛涔甯镐绉颁负瀛锛涓哄ぇ澶扮椋╀腑姣甯镐浼存规郴诲涓锛椋╀腑姣涔绉伴婧х剧锛foodborneillness锛锛杩椋琚瀵姣锛辫浜寰╀骇姣绱姹℃姘存椋╁涓缁煎寰

杩绫婚╀富瑕绂芥楸肩被ㄧ╂ч╋姹℃寰浠ュㄥ绘ㄨ宸ャ归オ宠椋杩绋涓换浣

璁稿绫诲寰╁姣绱寮璧烽╀腑姣锛朵腑

澶ц榛茶¤寮茶涔卞姬娌ㄦ蹇璐烘锛浠ュ璐ㄦ姹℃楸兼璐绫讳腑姣绱

Haff纭涓瀛灏涓‘锛浣烘瀹绉浠ヨ澶绉娣℃按楸兼璐绫荤╃╁缁姣姣绱锛寰澶у芥绉绫讳技浜捣娲宀╂娴疯垫绱姣绱

Haff纭

澶

1924骞达ㄦ尝缃娴锋捣宀告凹★K?nigsberger锛淇缃瀹煎 锛澶锛Haff锛娌垮哺板虹涓绉浠ヤ弗寮虹村肩涓虹瑰剧锛澶版ｈ杩浼存¤插翱杩浜ｈ娌℃绁缁郴缁瀹炽捐垮ぇ绛х剧琛ㄧ

澶ㄩ9骞撮达ㄨ板虹被浼肩澶瀛ｈ锛璇ュ板虹被浼肩辩疮绾1000浜恒变ｈ藉甯Haff婀娌垮哺锛姝よ绉颁负Haff变Haff婀涓婀锛x矛 h煤锛锛姝や琚О涓烘婀

璋ュ锛ｈㄥ涓涔芥楸肩锛娑楸肩被槌锛槌楸煎姊奔绛澶涓绉涓浜甯哥椋╀腑姣锛杩椋楸奸芥归オ楸硷涔娌℃讹浠ユやх剧芥с句搴蜂腑姣淬

姝ゅ1934~1984骞撮达ㄧ稿缁ラ绫讳技Haff

Haffㄧ芥╃渚虹1984骞达1996骞存诲变4渚ラ锛涓杩杩浜渚卞瑰藉杩姘寸楸煎挨舵朵腑澶у楸笺

澶у姘寸楸

1997骞达浠58达ㄥ╃凹浜宸瀵宸杩缁虹6渚Haff锛寰CDC瑙锛骞跺寮娣卞ョ绌惰ャ

璋ュ锛6涓渚涓2缁涓1渚ｅ锛芥杩椋姘寸楸肩锛杩椋板堕撮撮骞冲8灏讹6?21灏讹杩椋楸奸芥椿楸硷缁归オ奔涓搞

剧浠ヨ肩电磋捣锛涓昏跺电‖杞昏Е笺骞层煎哥笺哥跺澶ц挎ㄨ韩楹绘ㄣ渚缁浣㈡不锛姝讳骸锛骞冲浣㈡堕翠负3澶┿

瀹楠瀹ゆヤ富瑕告讹CK锛绾㈣藉甯稿楂CK楂骞冲12,700 IU / L锛姝ｅ父<300 IU / L锛锛CK楂楂宄版CK-/锛MB锛<5锛朵朵涓绋搴楂讳锛瀹楠瀹ゆユ剧ず缁村跺ぇヨ娑茬瑰

瀵逛寸瀛锛娑浜楸间腑娌℃妫哄璧峰凡ョ寰澶椋╀腑姣寰╁姣绱ㄧ╁楠锛ㄦ宸辩锋╂敞灏板浣寮绫讳技浜虹被Haff疯婧惰В跺碉璇存姜榄绁搁绉ц婧舵ф绱

杩椤归绋纰璋ュ烘娓浜Haff烘瑰锛骞剁‘绔浜璇ョ璇锛

1锛24灏跺杩椋娴烽;

2锛琛娓CK姘村钩剧楂锛5浠ヤ锛锛

3锛CK-/<5锛

虫锛界舵界‘瀹缁寸绱锛浜轰滑瀵逛Haff褰㈡浜烘璇

Haffㄦ

2010骞达浜23渚杩椋灏惧虹妯汗婧惰Вｈ琚炬涓纭涓Haff锛介娆＄‘璁Haff

2013骞村琛ㄥBMC卞ュ悍蹇涓2009骞村箍涓54渚ｈ椋ㄦ贰姘寸介渤Haff椤炬х绌跺骞存ユHaff澶х渚缁ュ

姝ゅ藉ュHaff涓昏涓ㄥ炬炽

灏句Haff

灏惧Haff╃ュ瑙浜2001骞寸借矾ｅ锛9浜哄涓鸿椋灏捐

朵灏惧寸Haff涓ㄦ姐2015骞达瀛瀵圭界9涓渚涓骞存ュㄥ介涓ュㄤ腑界6涓渚涓村琛ㄧ浜瀵规锛灏界缇藉涓界灏惧浜涓╃锛ｈ涓村跺翠瀹ㄧ稿锛缇界渚村琛ㄧ涓烘跺浼存锛哥锛ㄧ肩锛煎稿伴惧烘锛村琚璇涓哄姊姝汇涓界ｈ村琛ㄧ涓鸿圭瑙

灏

缁间杩帮Haff涓撅浠ョ‘璁ょ烘瀹

1.灏捐藉存í绾硅婧惰В锛

浣寮骞堕灏炬韩锛垮ㄦ浜姘村灏惧朵╀骇涓绉姣绱缁涔灏辨锛灏捐藉存í绾硅婧惰В浠浠绉椋╀腑姣

2.灏炬存í绾硅婧惰В椋╁锛

涓

扮涓烘锛娑拌椋姘翠骇瀵艰存í绾硅婧惰ВHaff楸肩被璐绫诲槌锛槌楸硷姊奔锛姘寸楸煎挨舵ぇ楸硷澶цタ娲椴楸硷娣℃按椴抽奔锛灏剧杩浜姘翠骇卞圭规娲诲ㄦ部娴锋婀姘村娣℃按楸艰绫伙灏句寸椋涔涓

3.归オ介垮灏惧存í绾硅婧惰В锛

涓姐

界剁寸绱灏缁纭锛浣浠ョ‘璁ょ寸绱绉瀵圭ǔ瀹婧惰В浜宸辩风ф绱锛骞堕娲荤寸寰╋浜瀹涓渚涔芥椋缁娴烽姝わ涓浜澶朵椋╀腑姣锛归オ骞朵介垮灏惧寸Haff

4  锋灏炬浠ラ垮璇ョㄨ繁韬锛

灏娌℃娉

变灏界‘瀹浜х娌荤姣绱╋浠ュ蜂浠涔姣绱寮锛朵灏辩己涔娴村灏炬哄甫娌荤姣绱娉

褰讹濡版渚涓锛垮杩椋姘村涓绫绘按浜у芥藉棰叉姐

姝わ骞夸椋绠″娑璐规绀哄浜插朵椋╀腑姣浜浠剁ㄧ锛浣浜椋灏惧寸Haff浠ヨ瀹ㄦㄣ

伴伙

骞夸椋绠″哄炬璐规绀

http://news.xinhuanet.com/2016-08/14/c_1119388471.htm

1  Haff Disease Associated with Eating Buffalo Fish -- United States,1997

http://www.cdc.gov/mmwr/preview/mmwrhtml/00056038.htm

2  Haff disease: from the Baltic Sea to the U.S. shore

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2640861/pdf/10756156.pdf

3  Global incidence of rhabdomyolysis after cooked seafoodconsumption (Haff disease)

http://www.tandfonline.com/doi/abs/10.3109/15563650.2015.1016165?journalCode=ictx20