Viegas S F, Calhoun J H
J Hand Surg Am. 1986 Sep;11(5):729-32. doi: 10.1016/s0363-5023(86)80021-1.
Lead intoxication from retained bullets is uncommon but potentially fatal. A 45-year-old man was shot in the left wrist with a .32-caliber rifle. He was first seen 16 months later with symptoms, signs, and laboratory values that were consistent with the diagnosis of plumbism. The factors leading to plumbism, its evaluation, and treatment are reviewed.
滞留子弹导致的铅中毒虽不常见,但可能致命。一名45岁男性被一把.32口径步枪射中左手腕。16个月后他首次就诊时,其症状、体征及实验室检查结果均符合铅中毒的诊断。本文对导致铅中毒的因素、评估及治疗进行了综述。