Bose-O'Reilly Stephan, McCarty Kathleen M, Steckling Nadine, Lettmeier Beate
Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Information Systems and Health Technology Assessment, UMIT-University for Health Sciences, Medical Informatics and Technology, Hall i.T, Austria.
Curr Probl Pediatr Adolesc Health Care. 2010 Sep;40(8):186-215. doi: 10.1016/j.cppeds.2010.07.002.
Acute or chronic mercury exposure can cause adverse effects during any period of development. Mercury is a highly toxic element; there is no known safe level of exposure. Ideally, neither children nor adults should have any mercury in their bodies because it provides no physiological benefit. Prenatal and postnatal mercury exposures occur frequently in many different ways. Pediatricians, nurses, and other health care providers should understand the scope of mercury exposures and health problems among children and be prepared to handle mercury exposures in medical practice. Prevention is the key to reducing mercury poisoning. Mercury exists in different chemical forms: elemental (or metallic), inorganic, and organic (methylmercury and ethyl mercury). Mercury exposure can cause acute and chronic intoxication at low levels of exposure. Mercury is neuro-, nephro-, and immunotoxic. The development of the child in utero and early in life is at particular risk. Mercury is ubiquitous and persistent. Mercury is a global pollutant, bio-accumulating, mainly through the aquatic food chain, resulting in a serious health hazard for children. This article provides an extensive review of mercury exposure and children's health.
急性或慢性汞暴露可在发育的任何阶段造成不良影响。汞是一种剧毒元素;不存在已知的安全暴露水平。理想情况下,儿童和成人身体内都不应含有任何汞,因为汞并无生理益处。产前和产后汞暴露以多种不同方式频繁发生。儿科医生、护士和其他医疗保健人员应了解儿童汞暴露的范围和健康问题,并准备好在医疗实践中处理汞暴露情况。预防是减少汞中毒的关键。汞以不同的化学形式存在:元素汞(或金属汞)、无机汞和有机汞(甲基汞和乙基汞)。低水平暴露的汞也可导致急性和慢性中毒。汞具有神经毒性、肾毒性和免疫毒性。子宫内及生命早期儿童的发育尤其危险。汞无处不在且持久存在。汞是一种全球污染物,主要通过水生食物链进行生物累积,对儿童健康构成严重危害。本文对汞暴露与儿童健康进行了广泛综述。