Masoodi Mohsen, Zali Mohammad-Reza, Ehsani-Ardakani Mohammad-Javad, Mohammad-Alizadeh Amir-Hoshang, Aiassofi Kazem, Aghazadeh Rahim, Shavakhi Ahmad, Somi Mohammad-Hossein, Antikchi Mohammad-Hossein, Yazdani Saeed
The Research Center for Gastroenterology and Liver Disease, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Arch Iran Med. 2006 Jan;9(1):72-5.
Although the incidence of occupational and adult lead poisoning has declined, the problem still exists. We encountered three patients with lead poisoning in Iran, all of whom associated with presented with diffuse abdominal pain, which was at times colicky in nature, anemia, constipation, nausea, vomiting, and slightly abnormal liver biochemistries. A history of opium ingestion was present in each of these patients. None of the patients reported known occupational exposure to toxins. Diagnoses of lead poisoning were confirmed through the detection of elevated blood lead levels. The cause of lead poisoning was attributed to the ingestion of contaminated opium. Opium adulterated with lead had not been previously recognized as a source of lead poisoning in Iran. It is, therefore, pointed out that lead poisoning should be considered as a differential diagnosis for acute abdominal colic of unclear cause in patients with opium addiction.
尽管职业性和成人铅中毒的发病率有所下降，但问题仍然存在。我们在伊朗遇到了三名铅中毒患者，他们均表现为弥漫性腹痛，有时呈绞痛性质，伴有贫血、便秘、恶心、呕吐以及肝功能轻度异常。这些患者均有吸食鸦片的病史。没有患者报告已知的职业性毒素接触史。通过检测血铅水平升高确诊为铅中毒。铅中毒的原因归因于摄入了受污染的鸦片。掺有铅的鸦片此前在伊朗尚未被认定为铅中毒的一个来源。因此，指出对于有鸦片成瘾的患者，原因不明的急性腹部绞痛应考虑铅中毒作为鉴别诊断。
