生活性亚急性铅中毒5例临床分析  

Clinical Analysis of 5 Cases of Life Subacute Lead Poisoning

作　　者：黄春桃 赖燕 HUANG Chuntao;LAI Yan(Poisoning Department,Hu’nan Institute of Occupational Disease Control,Changsha Hu'nan 410007,China)

机构地区：[1]湖南省职业病防治院中毒科,湖南长沙410007

出　　处：《中国卫生标准管理》2020年第9期15-17,共3页China Health Standard Management

摘　　要：目的探讨生活性亚急性铅中毒的临床特征、诊断与治疗及预后。方法回顾分析本科2017年9月-2019年11月收治的5例生活性亚急性铅中毒患者的临床特征与辅助检查资料,参照《重金属污染诊疗指南(试行)》(2010年版)及《职业性慢性铅中毒诊断标准》诊断与治疗。结果患者均以腹痛、便秘等消化道症状为主。患者主诉腹痛便秘3例(60%),腹痛、贫血2例(40%)。贫血5例(100%)、腹绞痛5例(100%)、便秘(100%),周围神经损害(60%)。经过1个疗程驱铅治疗后腹痛、便秘缓解,经过4疗程驱铅治疗后贫血症状改善且血铅下降明显。结论生活性亚急性铅中毒主要以腹痛、贫血症状为主,经驱铅治疗后疗效显著。Objective To explore the clinical characteristics,diagnosis,treatment and prognosis of subacute lead poisoning.Methods The clinical characteristics and auxiliary examination data of 5 patients with subacute lead poisoning from September to November 2017 were analyzed retrospectively.The diagnosis and treatment were based on the guideline for diagnosis and treatment of heavy metal pollution(Trial)(2010 Edition)and the diagnostic standard for occupational chronic lead poisoning.Results The main symptoms were abdominal pain and constipation.Patients complained of abdominal pain and constipation in 3 cases(60%),abdominal pain and anemia in 2 cases(40%).anemia 5 cases(100%),abdominal colic 5 cases(100%),constipation(100%),peripheral nerve damage(60%).After one course of lead expelling treatment,abdominal pain and constipation were relieved.After four courses of lead expelling treatment,anemia symptoms were improved and blood lead decreased significantly.Conclusion The main symptoms of life subacute lead poisoning are abdominal pain and anemia,and the curative effect is significant after lead expelling treatment.

关 键 词：生活性 亚急性铅中毒 治疗 临床特征 辅助检查 临床分析 

分 类 号：R135[医药卫生—劳动卫生]