职业相关的铬中毒是肾衰竭和横纹肌溶解的罕见病因。
Occupation-related chromium toxicity a rare cause of renal failure and rhabdomyolysis.
作者信息
Jagannati Manjeera, Ramya I, Sathyendra Sowmya
机构信息
Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
出版信息
Indian J Occup Environ Med. 2016 Sep-Dec;20(3):150-152. doi: 10.4103/0019-5278.203135.
A 21-year-old gentleman, a worker in a mobile phone shop, was admitted with rhabdomyolysis, renal failure, and pulmonary edema requiring mechanical ventilation and hemodialysis. After extensive workup and ruling out other causes, heavy metal poisoning was considered. Investigations during the course of the hospital stay revealed chromium poisoning. With repeated hemodialysis, his parameters normalized and he was discharged home in a stable condition. Diagnosis of chromium toxicity needs high index of suspicion. A history of occupational exposure might offer a clue to diagnosis. With hemodialysis and supportive care, it is a potentially salvageable condition.
一名21岁的男性，是一家手机店的工人，因横纹肌溶解、肾衰竭和肺水肿入院，需要机械通气和血液透析。经过全面检查并排除其他病因后，考虑为重金属中毒。住院期间的检查发现是铬中毒。经过反复血液透析，他的各项指标恢复正常，出院时病情稳定。铬中毒的诊断需要高度怀疑指数。职业暴露史可能为诊断提供线索。通过血液透析和支持治疗，这是一种有可能挽救的疾病。
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