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汞中毒:一项诊断挑战。

Mercury poisoning: a diagnostic challenge.

作者信息

Tezer Hasan, Kaya Aysenur, Kalkan Gokhan, Erkocoglu Mustafa, Ozturk Kubra, Buyuktasli Muge

机构信息

Department of Pediatrics, Republic of Turkey Ministry of Health, Ankara, Turkey.

出版信息

Pediatr Emerg Care. 2012 Nov;28(11):1236-7. doi: 10.1097/PEC.0b013e31827208b0.

Abstract

Clinical features of mercury poisoning are nonspecific, and a detailed history is very valuable. The silvery, shiny appearance of mercury makes it very exciting and attractive for children. The overall half-life of elemental mercury in the body averages approximately 2 months. Chelation therapy with dimercaptosuccinic acid is the treatment of choice if the urine or blood level of mercury is high or the symptoms are profound. Here, we describe a 14-year-old boy with fever, respiratory distress, and body rash. Investigation leading to a diagnosis of mercury poisoning was made only after his mother presented with the similar symptoms a few days later.

摘要

汞中毒的临床特征不具有特异性,详细的病史非常重要。汞的银色闪亮外观对儿童极具吸引力。元素汞在体内的总体半衰期平均约为2个月。如果尿液或血液中的汞含量高或症状严重,二巯基丁二酸螯合疗法是首选治疗方法。在此,我们描述一名14岁男孩,他出现发热、呼吸窘迫和皮疹。仅在几天后他的母亲出现类似症状后,才通过检查确诊为汞中毒。

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