应重视重金属中毒的诊断与治疗
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- 论文作者：邱泽武
- 年：2014
- 作者机构：全军中毒救治中心解放军307医院中毒救治科;
- 论文关键词：重金属中毒 ; 诊断 ; 治疗
- 英文论文关键词：heavy metal poisoning ; diagnosis ; treatment
- 会议召开时间：2014-12-13
- 会议录名称：“第四届重金属污染防治及风险评价研讨会”暨重金属污染防治专业委员会2014年学术年会论文集
- 语种：中文
- 分类号：R595.2
- 学会代码：HJKP
- 会议名称：“第四届重金属污染防治及风险评价研讨会”暨重金属污染防治专业委员会2014年学术年会
- 会议地点：中国江苏盐城
- 主办单位：中国环境科学学会、同济大学
- 学会名称：中国环境科学学会
- 页数：4
- 文件大小：767k
- 原文格式：D
- 会议级别：全国
摘要
随着经济快速发展伴随环境污染的加重,重金属中毒的病例日渐增多。由于重金属中毒临床表现缺乏特异性,重金属毒物检测手段的滞后,容易导致误诊、漏诊及延迟诊断。普及重金属中毒的防治知识,强化医生对重金属中毒的警觉意识,将有助于早期诊断、及时合理治疗,降低重金属对人体的伤害。本文对汞、铅、铊三种重金属的临床表现及治疗进行了简要阐述,对临床医生诊治具有重要意义。
With the rapid development of economy and deterioration of environmental pollution,the cases of heavy metal poisoning are increasing at mounting number.As the clinical manifestations are non-specific and the means of detection usually lags behind,it is inclined to cause erroneous diagnosis,missed diagnosis and delayed diagnosis of heavy metal poisoning.Popularizing the prevention and treatment of heavy metal poisoning as well as intensifying the alertness of clinicians will help the early diagnosis and the timely treatment,so as to alleviate the harm of heavy metal.The passage elucidates the clinical manifestations and treatment of three kinds of heavy metal poisoning,they are mercury,lead and thallium,the elucidation will play an important role in the clinical process of diagnosis and treatment.
With the rapid development of economy and deterioration of environmental pollution,the cases of heavy metal poisoning are increasing at mounting number.As the clinical manifestations are non-specific and the means of detection usually lags behind,it is inclined to cause erroneous diagnosis,missed diagnosis and delayed diagnosis of heavy metal poisoning.Popularizing the prevention and treatment of heavy metal poisoning as well as intensifying the alertness of clinicians will help the early diagnosis and the timely treatment,so as to alleviate the harm of heavy metal.The passage elucidates the clinical manifestations and treatment of three kinds of heavy metal poisoning,they are mercury,lead and thallium,the elucidation will play an important role in the clinical process of diagnosis and treatment.
引文
1.尤丽菊,刘国玲.误服重金属(铅,汞,砷等)中毒及抢救的生化机制[J].医学信息(上旬刊),2011,24(10):6441-6442
2.王艳丽,陈运彬.2004~2006年广州市0~6岁儿童铅中毒情况分析[J].中国妇幼保健,2008,23(6):821-823
3.邱泽武,王喆,孙成文.铊中毒的现状与诊治新进展[J].中国急救医学,2008,28(9):822-823
4.沈伟,邱泽武,彭晓波.汞中毒的现状及诊治研究进展[J].中国临床医生,2012,40(8):584-586
5.钟丽萍,朱宁,李芳华.86例汞中毒误诊分析[J].应用预防医学,2010,16(2)∶105-107.
6.郝凤桐,牛颖梅.48例化妆品汞中毒临床分析[J].中国工业医学杂志,2008,6∶368-369.
7.张晓然,邱泽武,崔文华等.急性铊中毒14例分析[J].药物不良反应杂志,2013,15(4):113-115
8.Brown MJ,Margolis S.Lead in drinking water and human blood lead levels in the United States[J].MMWR Surveill Summ,2012,61(S):1-9.
9.Gavaghan H.Lead,unsafe at any level[J].Bull World Health Organ,2002,80(1):82-89.
10.高丽蕙,杨丽莉.一起群体性急性铅中毒临床表现分析[J].职业与健康,2010,26(6):623
11.黄信有,游祖生.中西医治疗职业性慢性铅中毒65例疗效观察[J].职业卫生与应急救援,2013,31(5):253-254.
12.Misra U K,Kalita J,Yadav R K,et al.Thallium poisoning:emphasis on early diagnosis and response to haemodialysis[J].Postgrad Med J.2003,79(928):103-105.
13.Dargan PI,Giles LJ,Wallace CI,et a1.Case report:severe mercuricsulphate poisoning treated with 2,3-dimer-captopropane-1-sulphonate and haemodiafiitration[J].Crit Care,2002,7(3)∶1-6.
14.李颖,肖雄斌,张晓华等.依地酸钠钙治疗儿童铅中毒的临床疗效观察[J].环境与职业医学.2013,30(1):61-62
15.王婷,刘志东,曾梅蓉等.依地酸二钠钙联合水溶性维生素对治疗铅中毒的疗效观察[J].职业卫生与应急救援,2014,32(1):17-18
2.王艳丽,陈运彬.2004~2006年广州市0~6岁儿童铅中毒情况分析[J].中国妇幼保健,2008,23(6):821-823
3.邱泽武,王喆,孙成文.铊中毒的现状与诊治新进展[J].中国急救医学,2008,28(9):822-823
4.沈伟,邱泽武,彭晓波.汞中毒的现状及诊治研究进展[J].中国临床医生,2012,40(8):584-586
5.钟丽萍,朱宁,李芳华.86例汞中毒误诊分析[J].应用预防医学,2010,16(2)∶105-107.
6.郝凤桐,牛颖梅.48例化妆品汞中毒临床分析[J].中国工业医学杂志,2008,6∶368-369.
7.张晓然,邱泽武,崔文华等.急性铊中毒14例分析[J].药物不良反应杂志,2013,15(4):113-115
8.Brown MJ,Margolis S.Lead in drinking water and human blood lead levels in the United States[J].MMWR Surveill Summ,2012,61(S):1-9.
9.Gavaghan H.Lead,unsafe at any level[J].Bull World Health Organ,2002,80(1):82-89.
10.高丽蕙,杨丽莉.一起群体性急性铅中毒临床表现分析[J].职业与健康,2010,26(6):623
11.黄信有,游祖生.中西医治疗职业性慢性铅中毒65例疗效观察[J].职业卫生与应急救援,2013,31(5):253-254.
12.Misra U K,Kalita J,Yadav R K,et al.Thallium poisoning:emphasis on early diagnosis and response to haemodialysis[J].Postgrad Med J.2003,79(928):103-105.
13.Dargan PI,Giles LJ,Wallace CI,et a1.Case report:severe mercuricsulphate poisoning treated with 2,3-dimer-captopropane-1-sulphonate and haemodiafiitration[J].Crit Care,2002,7(3)∶1-6.
14.李颖,肖雄斌,张晓华等.依地酸钠钙治疗儿童铅中毒的临床疗效观察[J].环境与职业医学.2013,30(1):61-62
15.王婷,刘志东,曾梅蓉等.依地酸二钠钙联合水溶性维生素对治疗铅中毒的疗效观察[J].职业卫生与应急救援,2014,32(1):17-18