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[金属汞吸入中毒的神经系统症状]

[Neurologic symptoms in inhalation poisoning with metallic mercury].

作者信息

Zeitlhofer J, Petzl D H, Cichini G, Meisinger V, Schuller W, Wimberger D, Mayr N, Strasser K, Jahn O

机构信息

Neurologische Universitätsklinik, Wien.

出版信息

Nervenarzt. 1988 Jul;59(7):426-9.

PMID:3405353
Abstract

Nineteen caisson workers had been exposed to metallic mercury vapours while digging tubes underneath the first district of Vienna (exposure between 470 and 2440 min; mean 1621 min). The blood mercury values on admission were between 29 and 166 micrograms/l (mean 75 +/- 34 micrograms/l). The main findings reported are clinical neurologic symptoms, psychic complaints, neurographic results and autonomic parameters (cardiovascular reflexes): 47% complained of headache and tiredness, 37% showed tremor and suffered from sleep disturbances, 26% showed hypersalivation, 16% changes in handwriting, and 11% slight dysarthria. The cardiovascular reflexes (autonomic parameters) were abnormal in 7 of 12 patients. On neurography the distal latency (median nerve) was pathologic in 47%, the distal latency (peroneal nerve) was pathologic in 26%, the antidromic sensory nerve conduction velocity (median nerve) was abnormal in 10%, the motor nerve conduction velocity, compound amplitude and vibratory threshold were normal.

摘要

19名沉箱工人在维也纳第一区下方挖掘管道时接触到金属汞蒸气(接触时间在470至2440分钟之间;平均1621分钟)。入院时血汞值在29至166微克/升之间(平均75±34微克/升)。报告的主要发现包括临床神经症状、精神主诉、神经电图结果和自主神经参数(心血管反射):47%的人抱怨头痛和疲劳,37%的人出现震颤并患有睡眠障碍,26%的人出现流涎过多,16%的人笔迹改变,11%的人有轻微构音障碍。12名患者中有7名的心血管反射(自主神经参数)异常。在神经电图检查中,47%的患者正中神经远端潜伏期病理改变,26%的患者腓总神经远端潜伏期病理改变,10%的患者正中神经逆向感觉神经传导速度异常,运动神经传导速度、复合波幅和振动阈值正常。

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