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一名3个月大婴儿的急性汞蒸气中毒:病例报告。

Acute mercury vapor poisoning in a 3-month-old infant: A case report.

作者信息

Gao Zhenyan, Ying Xiaolan, Yan Jin, Wang Ju, Cai Shizhong, Yan Chonghuai

机构信息

Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Children's Hospital of Soochow University, Suzhou, China.

出版信息

Clin Chim Acta. 2017 Feb;465:119-122. doi: 10.1016/j.cca.2016.12.019. Epub 2016 Dec 24.

DOI:10.1016/j.cca.2016.12.019
PMID:28027882
Abstract

BACKGROUND

We investigated the clinical characteristics of a 3-month-old infant with acute mercury vapor poisoning. Clinical symptoms of acute mercury poisoning in infants include acute onset, rapid progression, severe illness with respiratory symptoms that may result in pneumothoraces and aspiration pneumonias.

CASE PRESENTATION

A 3-month-old girl presented with pneumothoraces and respiratory failure to the hospital. Two days before hospitalization, the girl had stayed in a room containing mercury vapor for several hours. She was hospitalized for acute mercury poisoning. We used sodium dimercaptosulphonate (DMPS) for treatment.

CONCLUSION

Pulmonary disease was mainly induced by the inhalation of mercury vapor. The disease was characterized by acute respiratory distress, pneumothorax and acute chemical pneumonitis. It responded to chelation therapy with the agent DMPS.

摘要

背景

我们调查了一名3个月大急性汞蒸气中毒婴儿的临床特征。婴儿急性汞中毒的临床症状包括急性起病、进展迅速、病情严重并伴有呼吸系统症状,可能导致气胸和吸入性肺炎。

病例介绍

一名3个月大的女孩因气胸和呼吸衰竭入院。住院前两天,该女孩在含有汞蒸气的房间里待了几个小时。她因急性汞中毒住院。我们使用二巯丙磺钠(DMPS)进行治疗。

结论

肺部疾病主要由吸入汞蒸气引起。该疾病的特征为急性呼吸窘迫、气胸和急性化学性肺炎。使用药物DMPS进行螯合治疗有效。

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