小儿铅中毒92例住院病例分析  

Analysis of 92 hospitalized cases of lead poisoning in children

作　　者：张素芬[1] 贺冬艳 黄梅英[1] Zhang Sufen;He Dongyan;Huang Meiying(Department of Pediatrics,Longgang People's Hosptial,Shenzhen 518172,China)

机构地区：[1]深圳市龙岗区人民医院,518172

出　　处：《国际医药卫生导报》2020年第21期3281-3283,共3页International Medicine and Health Guidance News

摘　　要：目的探讨小儿铅中毒临床特征、治疗效果,为儿童铅中毒的临床诊疗提供指导建议。方法对2016年11月至2017年12月92例铅中毒住院患儿资料进行分析,包括临床表现、实验室检查、治疗效果、不良反应等。结果小儿铅中毒可累及各个脏器,急性期以消化系统症状为主。治疗主要以依地酸钠钙、二巯丁二酸为主,对重度、极重度小儿铅中毒患儿需驱铅10个疗程以上。结论传统民间偏方运用所造成的铅中毒不容忽视。小儿铅中毒可防可治。依地酸钠钙、二巯丁二酸治疗小儿铅中毒安全、有效。Objective To explore the clinical characteristics and therapeutic effect of lead poisoning in children,and to provide guidance and suggestions for the clinical diagnosis and treatment of lead poisoning in children.Method The data of 92 hospitalized children suffering lead poisoning from November 2016 to December 2017 was analyzed,including the clinical manifestations,laboratory examination,treatment effect,and adverse reactions.Results Lead poisoning in children could do harm to all the organs.In the acute phase,the symptoms mainly developed in the digestive system.Disodium monocalcium EDTA,and dimercaptosuccinic acid were mainly used for treatment.For children with severe,extremely severe lead poisoning,more than 10 courses of dispelling lead were needed.Conclusions Lead poisoning caused by traditional folk remedies can not be ignored.Lead poisoning in children can be prevented and treated.Disodium monocalcium EDTA and dimercaptosuccinic acid are safe and effective in the treatment of lead poisoning in children.

关 键 词：铅中毒 儿童 依地酸钠钙 二巯丁二酸 

分 类 号：R725.9[医药卫生—儿科]