职业性慢性铅中毒92例临床分析  

Clinical analysis of 92 cases of occupational chronic lead poisoning

作　　者：马启立 

机构地区：[1]淮南市职业病防治所,安徽省淮南232007

出　　处：《中国基层医药》2013年第3期394-396,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨职业性慢性铅中毒的发病情况及诊治方法。方法对92例从事蓄电池制造工作因职业性慢性铅中毒而住院行驱铅治疗患者的临床资料进行分析，比较总结不同工种、工龄、工作场所铅浓度与慢性铅中毒发病的关系及其诊治方法。结果92例铅中毒人员中，轻度铅中毒85例、中度铅中毒7例。工种和工龄与慢性铅中毒的发病有关（均P〈0．05）。经给予依地酸二钠钙进行驱铅治疗2—6个疗程及连续观察尿铅变化情况，患者临床中毒症状消失、尿铅恢复正常。结论职业性铅中毒是蓄电池制造人员常见、多发职业病；诊断性驱铅试验对铅中毒的诊断和治疗有重要的实用意义；依地酸二钠钙为治疗铅中毒首选驱铅药物，疗效肯定可靠。Objective To explore the incidence, diagnosis and treatment of occupational chronic lead poison- ing. Methods Removing lead hospitalized patients with lead poisoning treatment clinical data were analyzed. Results 92 cases of lead poisoning in the mild lead poisoning in 85 cases, moderate lead poisoning cases. The type of work and length of service with the onset of chronic lead poisoning（ all P 〈 0.05 ）. Removing lead 2 to 6 courses of treatment and continuous observation of urine lead changes give aminoxatyl complexing agent, in patients with clinical symptoms of poisoning disappeared, urine lead back to normal. Conclusion Occupational lead poisoning is common battery manufacturing personnel, multiple occupational diseases;diagnostic removing lead test for the diagnosis and treatment of lead poisoning has important practical significance ;the disodium edetate calcium for the treatment of lead poisoning preferred removing lead drug, which has reliable effects.

关 键 词：铅中毒 空气污染物 职业性 诊断 治疗结果 

分 类 号：R1[医药卫生—公共卫生与预防医学]