Prasad Venkat L
Tri County Community Health Center, Dunn, North Carolina 28334, USA.
Environ Health Perspect. 2004 Sep;112(13):1326-8. doi: 10.1289/ehp.6891.
Deliberate injection of mercury, especially subcutaneous injection, is rare but is seen in psychiatric patients, individuals who attempt suicide, those who are accidentally injected, and boxers who wish to build muscle bulk. Metallic mercury plays a major role in ethnic folk medicine. Neurologic and renal complications can result from high systemic levels of mercury, and subcutaneous injection usually results in sterile abscesses. Urgent surgical evacuation and close monitoring for neurologic and renal functions as well as chelation (if toxicity is indicated) are key aspects of treatment. Education of the adverse effects and dangers of mercury is important, especially in pregnant women and children. As increased immigration changes demographic patterns, proper disposal of mercury and preventing its sale and use should become urgent societal priorities. Psychiatric consultation should be obtained whenever appropriate.
故意注射汞，尤其是皮下注射，虽罕见，但在精神病患者、企图自杀者、意外注射者以及希望增强肌肉块的拳击手中可见。金属汞在民族民间医学中起主要作用。汞的全身水平过高可导致神经和肾脏并发症，皮下注射通常会导致无菌性脓肿。紧急手术引流以及密切监测神经和肾功能以及螯合治疗（如显示中毒）是治疗的关键方面。对汞的不良反应和危险进行教育很重要，尤其是对孕妇和儿童。随着移民增加改变人口模式，妥善处理汞并防止其销售和使用应成为紧迫的社会优先事项。应在适当的时候寻求精神科会诊。
