Molin M, Schütz A, Skerfving S, Sällsten G
Department of Prosthetic Dentistry, University of Umeå, Sweden.
Int Arch Occup Environ Health. 1991;63(3):187-92. doi: 10.1007/BF00381567.
In a mercury mobilization test, 0.3 g of the complexing agent sodium 2,3-dimercaptopropane-1-sulfonate (DMPS) was given orally to 10 workers with moderate occupational exposure to elemental mercury vapour, to 8 dentists with slight exposure, to 18 matched controls, and to 5 referents without amalgam fillings. In the workers, DMPS caused an increase in 24-h urinary mercury excretion by a factor of 10; in the dentists, 5.9; in the controls, 5.3; and in the amalgam-free referents, 3.8. Of the mercury excreted during 24 h, 59% appeared during the first 6 h. Close, albeit non-linear, associations were found between mobilized mercury and the premobilization mercury levels in plasma and urine, but not with the duration of occupational exposure or the rough estimate of the integrated function of blood levels vs time. The present data indicate that mercury mobilized after a single DMPS dose in close connection with exposure is mainly an index of recent exposure and is not significantly affected by slow body pools or long-term exposure.
在一项汞动员试验中,向10名职业性中度接触元素汞蒸气的工人、8名轻度接触的牙医、18名匹配的对照者以及5名无汞合金填充物的参照者口服了0.3克络合剂2,3-二巯基丙烷-1-磺酸钠(DMPS)。在工人中,DMPS使24小时尿汞排泄量增加了10倍;在牙医中增加了5.9倍;在对照者中增加了5.3倍;在无汞合金的参照者中增加了3.8倍。在24小时内排泄的汞中,59%在最初6小时内排出。发现动员出的汞与血浆和尿液中动员前的汞水平之间存在密切但非线性的关联,但与职业接触的持续时间或血汞水平随时间综合功能的粗略估计无关。目前的数据表明,单次服用DMPS后与接触密切相关而动员出的汞主要是近期接触的指标,不受缓慢的体内汞库或长期接触的显著影响。