Department of Pediatrics, Division of PICU and Emergency, Kalawati Saran Children's Hospital, New Delhi 11001, India.
Indian J Pediatr. 2011 Nov;78(11):1420-3. doi: 10.1007/s12098-011-0445-6. Epub 2011 Jun 10.
An 11-month-old child presented with persistent seizures requiring ventilator support. The child had global developmental delay, was staying in the premises of battery manufacturing unit, had microcytic and hypochromic anemia with basophilic stripling on peripheral smear, lead line on radiograph of the long bones and BLL of 244 μg/dl. The CT scan of the brain revealed cerebral atrophy. The mother also had high BLL and lead line in the radiograph of the long bones. The child was managed with chelation therapy. Given the continuing lead exposure among occupational and general populations in India, this case study highlights the need for prompt environmental preventive actions as well as nutritional and preventive counseling for occupational populations.
一名 11 个月大的儿童出现持续性癫痫发作，需要呼吸机支持。该儿童存在全面发育迟缓，居住在电池制造单位内，外周血涂片显示小细胞低色素性贫血伴嗜碱性点彩，长骨 X 线片有铅线，血铅水平为 244μg/dl。脑部 CT 扫描显示脑萎缩。母亲的长骨 X 线片也有高血铅和铅线。患儿接受了螯合疗法。鉴于印度职业人群和普通人群中持续存在铅暴露，本病例研究强调了需要及时采取环境预防措施，以及对职业人群进行营养和预防咨询。
