因铅中毒而行阑尾切除术：一例报告。
Appendectomy due to lead poisoning: a case-report.
机构信息
Department of Occupational Medicine and Occupational Medicine Research Center of Iran University of Medical Sciences, Shaheed Hemmat highway, Tehran, Iran.
出版信息
J Occup Med Toxicol. 2008 Oct 17;3:23. doi: 10.1186/1745-6673-3-23.
BACKGROUND
Lead poisoning is a common occupational health hazard in developing countries and many misdiagnoses and malpractices may occur due to unawareness of lead poisoning symptoms.
CASE PRESENTATION
We report a case of occupational lead poisoning in an adult battery worker with abdominal colic who initially underwent appendectomy with removal of normal appendix. Later on he was diagnosed with lead poisoning and was treated appropriately with lead chelator (CaNa2EDTA).
CONCLUSION
Lead poisoning is frequently overlooked as the differential diagnosis of acute abdomen which may result in unnecessary surgery. Appropriate occupational history taking is helpful in making a correct diagnosis. Occupational lead poisoning is a preventable disorder and a serious challenge for the health and labor authorities in developing countries.
背景
在发展中国家，铅中毒是一种常见的职业健康危害，由于不了解铅中毒的症状，可能会出现许多误诊和医疗事故。
病例介绍
我们报告了一例成年电池工人职业性铅中毒的病例，该工人出现腹痛，最初接受了阑尾切除术并切除了正常的阑尾。后来他被诊断为铅中毒，并接受了适当的铅螯合剂（CaNa2EDTA）治疗。
结论
铅中毒常被忽视为急性腹痛的鉴别诊断，这可能导致不必要的手术。适当的职业史采集有助于做出正确的诊断。职业性铅中毒是一种可预防的疾病，也是发展中国家卫生和劳动部门面临的严峻挑战。
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