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兔慢性铅中毒:三种诊断测试的比较

Chronic plumbism in rabbits: a comparison of three diagnostic tests.

作者信息

Roscoe D E, Nielsen S W, Eaton H D, Rousseau J E

出版信息

Am J Vet Res. 1975 Aug;36(08):1225-9.

PMID:1155838
Abstract

Three groups of rabbits (A, B, and C; 6 rabbits/group) were fed a lead supplement of 25, 50, and 100 mg of Pb/kg of live weight/day for 87 days to compare the efficacies of 3 diagnostic tests--whole blood lead concentration, urinary delta-aminolevulinic acid (UALA), and fluorescent erythrocyte test (FET)--and to determine the clinicopathologic changes of experimentally induced lead poisoning in rabbits. All rabbits given lead had whole-blood lead concentrations greater then the maximum value (0.030 mg/dl) for control rabbits (group D), indicating that this measurement is a reliable indicator of lead ingestion. All group A rabbits (fed 25 mg of Pb/kg) and 66% negative UALA test results, with values less than the maximum value (0.12 mg/dl) for group D (control) rabbits. Only group C rabbits (fed 100 mg of Pb/kg) had consistently positive UALA FINDINGS. The test was therefore considered unreliable for detecting daily lead intakes less than 100 mg/kg of live weight of rabbits. All rabbits given lead had erythrocytes which fluoresced red when exposed to light rays with wavelenghts from 320 to 400 nm; fluorescence was not observed in erythrocytes of control rabbits. The FET appears to be a convenient and reliable diagnostic test for lead ingestion. In groups B and C, clinical signs of lead poisoning were mild, nonpersistent anemia characterized by the presence of poikilocytes, hupochromic erythrocytes, target cells, erythroblasts, erythrocytes with punctate basophilic stippling, reduced mean corpuscular hemoglobin concentrations, and relative lymphocytosis, neutropenia, and eosinopenia. One rabbit from the group fed the largest dose displayed partial anorexia.

摘要

将三组兔子(A组、B组和C组;每组6只兔子)每天按每千克体重25毫克、50毫克和100毫克的铅剂量进行补充喂养,持续87天,以比较三种诊断测试——全血铅浓度、尿δ-氨基乙酰丙酸(UALA)和荧光红细胞试验(FET)——的效果,并确定实验性诱导的兔子铅中毒的临床病理变化。所有给予铅的兔子全血铅浓度均高于对照兔子(D组)的最大值(0.030毫克/分升),这表明该测量是铅摄入的可靠指标。所有A组兔子(喂食25毫克铅/千克)的UALA测试结果为阴性,数值低于D组(对照)兔子的最大值(0.12毫克/分升)。只有C组兔子(喂食100毫克铅/千克)的UALA结果始终为阳性。因此,该测试被认为对于检测兔子每日铅摄入量低于每千克体重100毫克时不可靠。所有给予铅的兔子的红细胞在暴露于波长为320至400纳米的光线时会发出红色荧光;对照兔子的红细胞未观察到荧光。FET似乎是一种方便且可靠的铅摄入诊断测试。在B组和C组中,铅中毒的临床症状较轻,为非持续性贫血,其特征为存在异形红细胞、低色素红细胞、靶形细胞、成红细胞、有嗜碱性点彩的红细胞、平均红细胞血红蛋白浓度降低以及相对淋巴细胞增多、中性粒细胞减少和嗜酸性粒细胞减少。喂食最大剂量组的一只兔子出现部分厌食。

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