Begly John P, Lajam Claudette M
Bull Hosp Jt Dis (2013). 2016 Sep;74(3):229-33.
A 35-year-old female presented to orthopaedic clinic with a chief complaint of chronic left hip pain, beginning 17 years prior when she had sustained a gunshot wound to her left buttock. Imaging demonstrated significant left hip arthritis with a retained projectile in the femoral head. Lead levels were also found to be significantly elevated. The patient underwent successful left total hip arthroplasty, with subsequent postoperative pain relief and consistent decrease in serum lead level. This report presents a rare case that emphasizes lead intoxication as a potentially dangerous complication of gunshot wounds and retained projectiles in the orthopaedic patient. Recognition of lead intoxication as a potential complication of retained gunshot projectiles allows for efficient diagnosis and treatment, which may prevent associated future morbidity.
一名35岁女性因慢性左髋疼痛前往骨科门诊就诊，疼痛始于17年前，当时她左臀部遭受枪伤。影像学检查显示左髋严重关节炎，股骨头内有一枚残留子弹。还发现铅水平显著升高。患者接受了成功的左全髋关节置换术，术后疼痛缓解，血清铅水平持续下降。本报告介绍了一例罕见病例，强调铅中毒是骨科患者枪伤和残留子弹潜在的危险并发症。认识到铅中毒是残留枪伤子弹的潜在并发症，有助于进行有效的诊断和治疗，从而预防未来相关的发病率。
