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[金属汞所致慢性中毒性脑病]

[Chronic toxic encephalopathies caused by metallic mercury].

作者信息

Langauer-Lewowicka H, Czapnik J

出版信息

Neurol Neurochir Pol. 1986 Sep-Oct;20(5):461-5.

PMID:3587517
Abstract

On the basis of neurological, psychological and electroencephalographic investigations the authors present an assessment of the state of the nervous system in 24 males observed in hospital for suspected chronic intoxication with metallic mercury. The most frequent symptoms were: headaches and dizziness (17 cases), recent memory disturbances (16) and irritability (15). Cerebellar signs were found in 13 cases, one eeg record was abnormal, in 4 cases the eeg was borderline normal. Psychological tests revealed in 21 cases evidence of organic brain damage with slowing down of the simple visual and auditory reactions (16), disturbances of recent memory and persistent attention (14), decreased intellectual efficiency (7) and visual perception (5). The authors call attention to the necessity of appropriate prevention of mercury poisoning in view of its selective neurotoxicity and irreversibility of the pathological changes. The importance of psychological testing for psychological testing for the correct assessment of the status of the nervous system in cases of metallic mercury poisoning is stressed.

摘要

基于神经学、心理学和脑电图检查,作者对24名因疑似金属汞慢性中毒而住院观察的男性的神经系统状况进行了评估。最常见的症状是:头痛和头晕(17例)、近期记忆障碍(16例)和易怒(15例)。13例发现有小脑体征,1例脑电图记录异常,4例脑电图临界正常。心理测试显示,21例有器质性脑损伤的证据,表现为简单视觉和听觉反应减慢(16例)、近期记忆和持续注意力障碍(14例)、智力效率下降(7例)和视觉感知下降(5例)。鉴于汞中毒具有选择性神经毒性且病理变化不可逆,作者呼吁注意对汞中毒进行适当预防。强调了心理测试对于正确评估金属汞中毒病例中神经系统状况的重要性。

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