鱼胆中毒是一个严重的临床急症,可于服胆后1～4d内迅速发生急性肾衰、肝脏损害、心肌损害等致命性的多系统器官功能衰竭。临床上处理十分困难,病死率高。国内于1965年首次报告,在目前为止已达786例。其中重型中毒患者573例(简称国内组)。行血透治疗351例,腹透治疗66例、直肠透析治疗16例。转为慢性肾衰2例。死亡57例,死亡率9.9％。我院1987～1998-06共收治鱼胆中毒86例,其中重型中毒62例均有急性肾功能衰竭,鱼胆中毒的救治主要是重型 Fish gall intoxication is a serious clinical emergency that can rapidly lead to fatal multiple system organ failure such as acute renal failure, liver damage and myocardial damage within 1 to 4 days after taking the bile. Clinical treatment is very difficult, high mortality. It was first reported in China in 1965 and so far it has reached 786 cases. Among them, 573 cases of severe poisoning (referred to as the domestic group). Hemodialysis treatment of 351 cases, 66 cases of peritoneal dialysis, rectal dialysis in 16 cases. 2 cases of chronic renal failure. 57 cases died, the mortality rate was 9.9%. Our hospital from 1987 to 1998-06 were treated 86 cases of fish gall bladder poisoning, of which 62 cases of acute severe acute renal failure, the treatment of fish poisoning is mainly heavy