Souto S, Gómez Gómez L, García Mata S
Centro de Salud de Valtierra, Navarra, 31514, Spain.
An Sist Sanit Navar. 2012 Sep-Dec;35(3):525-8. doi: 10.23938/ASSN.0110.
Mercury thermometers are and have been, despite their manufacture being banned, one of the main sources of exposure at the paediatric age to elementary mercury (Hg) in our environment. The toxicity produced by elementary Hg depends on the exposure channel and its length. Exposure through the digestive tract produces hardly any toxicity, but subcutaneous or intravenous inoculation and inhalation of mercury may produce damages at a local or system level. We present the case of a child who showed inoculation of liquid mercury in subcutaneous tissue after a liquid-in-glass thermometer broke. This provoked damages at a local level with steatonecrosis of the tissue. The diagnosis was decided through a radiological test and required urgent surgery with excision of skin and subcutaneous tissue, guided by radioscopy. Any spread at a system level was discarded. The levels of mercury in the bloodstream and in the urine were regular.
尽管汞温度计的生产已被禁止,但它一直是我们环境中儿童时期接触单质汞(Hg)的主要来源之一。单质汞产生的毒性取决于接触途径及其时长。通过消化道接触几乎不会产生任何毒性,但皮下或静脉注射以及吸入汞可能会在局部或全身造成损害。我们报告一例儿童病例,该儿童在玻璃体温计破裂后,皮下组织接种了液态汞。这导致了局部组织脂肪坏死性损害。通过放射学检查做出诊断,并在透视引导下进行了紧急手术,切除皮肤和皮下组织。排除了任何全身扩散的情况。血液和尿液中的汞含量正常。