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[以腹痛为表现的铅中毒。病例报告]

[Abdominal pain as a presentation by lead poisoning. Case report].

作者信息

Mottier Daniel M, Cargnel Elda

机构信息

Servicio de Pediatría, Hospital Complejidad VI Cutral Có, Plaza Huincul.

Unidad de Toxicología, Hospital de Niños Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires.

出版信息

Arch Argent Pediatr. 2017 Apr 1;115(2):e96-e98. doi: 10.5546/aap.2017.e96.

Abstract

Acute lead poisoning is not a common pathology seen in the pediatrician's office. Lead poisoning symptoms can be digestive or neurological, and they can be confused with other pathologies. That is the reason why it should be considered and, in case of doubt, complementary studies to confirm lead poisoning should be requested. This is the case of a nine-year-old child that comes to the office with a strong abdominal pain and vomiting, and after a close physical examination and a detailed anamnesis, a suspicious diagnosis of "acute" lead poisoning is obtained. Therefore, the infant is hospitalized, and after taking a venous sampling to confirm the lead level, a chelation therapy is performed under the toxicology expert's supervision.

摘要

急性铅中毒并非儿科医生诊室中常见的病症。铅中毒症状可能表现为消化系统或神经系统症状,且可能与其他病症相混淆。正因如此,应考虑到铅中毒的可能性,如有疑问,应要求进行辅助检查以确诊铅中毒。以下就是这样一个病例:一名9岁儿童因剧烈腹痛和呕吐前来就诊,经过仔细的体格检查和详细的问诊后,得出了“急性”铅中毒的可疑诊断。因此,该患儿住院治疗,在采集静脉血样以确定铅含量后,在毒理学专家的监督下进行了螯合疗法。

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