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儿童铅中毒:一例病例报告。

Lead poisoning in children: a case report.

作者信息

Jouhadi Zineb, Bensabbahia Dalal, Chafiq Fouad, Oukkache Bouchra, Guebessi Nisrine Bennani, Abdellah El Abidi, Najib Jilali

机构信息

Pediatric Infectious Diseases Children's Hospital, Casablanca, Morocco.

Poison Control Center and Pharmaco-vigilance, Rabat, Morocco.

出版信息

Pan Afr Med J. 2016 Aug 18;24:316. doi: 10.11604/pamj.2016.24.316.10352. eCollection 2016.

Abstract

Lead colic is a rare cause of abdominal pain. The diagnosis of lead poisoning is most often mentioned in at risk populations (children, psychotic). We report the case of a 2 year old child that was presented for acute abdomen. Abdominal plain radiograph showed multiple intra-colonic metallic particles and suggested lead poisoning diagnosis. Anamnesis found a notion of pica and consumption of peeling paint. Elevated blood lead levels (BLL) confirmed the diagnosis. The lead poisoning is a public health problem especially in children, but its manifestation by a lead colic is rare and could simulate an acute abdomen table.

摘要

铅绞痛是腹痛的罕见原因。铅中毒的诊断最常出现在高危人群(儿童、精神病患者)中。我们报告一例2岁儿童因急腹症就诊的病例。腹部平片显示结肠内有多个金属颗粒,提示铅中毒诊断。病史发现有异食癖和食用剥落油漆的情况。血铅水平升高(BLL)证实了诊断。铅中毒是一个公共卫生问题,尤其是在儿童中,但以铅绞痛表现出来的情况很少见,且可能模拟急腹症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a60/5267855/ccacf26a660a/PAMJ-24-316-g001.jpg

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