John B E, Boatright D
Department of Internal Medicine, Meharry Medical College, Nashville, Tenn. 37208, USA.
South Med J. 1999 Feb;92(2):223-4. doi: 10.1097/00007611-199902000-00012.
Lead toxicity from gunshot wound is a rare complication. It occurs when body fluids, especially synovial cavity fluids, dissolve lead from the bullets, resulting in absorption and toxicity. Metabolic stress, infection, or alcoholism can also enhance absorption. Combination of chelation and surgical removal can result in favorable prognosis. Awareness of this condition allows appropriate diagnostic and therapeutic interventions to be initiated in a timely manner.
枪伤导致的铅中毒是一种罕见的并发症。当体液，尤其是滑膜腔液溶解子弹中的铅，从而导致吸收和中毒时，就会发生这种情况。代谢应激、感染或酗酒也会增强吸收。螯合疗法与手术切除相结合可带来良好的预后。认识到这种情况有助于及时启动适当的诊断和治疗干预措施。
