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体内骨铅测量:一种累积铅暴露的快速监测方法。

In vivo bone lead measurements: a rapid monitoring method for cumulative lead exposure.

作者信息

Wielopolski L, Ellis K J, Vaswani A N, Cohn S H, Greenberg A, Puschett J B, Parkinson D K, Fetterolf D E, Landrigan P J

出版信息

Am J Ind Med. 1986;9(3):221-6. doi: 10.1002/ajim.4700090304.

DOI:10.1002/ajim.4700090304
PMID:3963004
Abstract

Lead concentrations (microgram/g wet weight) in human bone (tibia) were measured noninvasively in vivo employing an X-ray fluorescence technique. Forty-five workers who had been subjected to chronic industrial exposure were found to have a mean bone lead content of 52.9 micrograms/g wet weight (0 to 198 micrograms/g). In addition to bone lead content, blood lead, body burden of lead as assessed by urinary lead excretion after EDTA chelation, zinc protoporphyrin, and unstimulated urinary lead excretion were evaluated. The results suggest that the in vivo measurement of tibia lead content may serve as an acceptable indicator of body lead burden and provide a practical technique for lead screening purposes. The correlation coefficient between X-ray fluorescence findings and lead excretion following Ca-EDTA administration is 0.69; p less than 0.001.

摘要

采用X射线荧光技术对人体骨骼(胫骨)中的铅浓度(微克/克湿重)进行了无创活体测量。45名长期遭受工业铅暴露的工人的骨骼铅平均含量为52.9微克/克湿重(0至198微克/克)。除了骨骼铅含量外,还评估了血铅、经乙二胺四乙酸(EDTA)螯合后通过尿铅排泄评估的铅体内负荷、锌原卟啉以及非刺激性尿铅排泄。结果表明,胫骨铅含量的活体测量可能是衡量体内铅负荷的一个可接受指标,并为铅筛查提供了一种实用技术。X射线荧光检测结果与注射Ca-EDTA后的铅排泄之间的相关系数为0.69;p<0.001。

相似文献

1
In vivo bone lead measurements: a rapid monitoring method for cumulative lead exposure.体内骨铅测量:一种累积铅暴露的快速监测方法。
Am J Ind Med. 1986;9(3):221-6. doi: 10.1002/ajim.4700090304.
2
In vivo measurements of bone lead--a comparison of two x-ray fluorescence techniques used at three different bone sites.骨铅的体内测量——两种X射线荧光技术在三个不同骨部位的比较
Phys Med Biol. 1989 Dec;34(12):1833-45. doi: 10.1088/0031-9155/34/12/007.
3
Reducing bone lead content by chelation treatment in chronic lead poisoning: an in vivo X-ray fluorescence and bone biopsy study.
Environ Res. 1989 Feb;48(1):70-5. doi: 10.1016/s0013-9351(89)80086-6.
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Factors influencing bone lead concentration in a suburban community assessed by noninvasive K x-ray fluorescence.通过无创K射线荧光法评估的郊区社区中影响骨铅浓度的因素。
JAMA. 1994 Jan 19;271(3):197-203.
5
In vivo tibia lead measurements as an index of cumulative exposure in occupationally exposed subjects.将体内胫骨铅含量测量作为职业暴露人群累积暴露指标。
Br J Ind Med. 1988 Mar;45(3):174-81. doi: 10.1136/oem.45.3.174.
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Lead in vertebral bone biopsies from active and retired lead workers.在职和退休铅作业工人椎骨活检中的铅含量
Arch Environ Health. 1987 Nov-Dec;42(6):340-6. doi: 10.1080/00039896.1987.9934356.
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Bone lead, hypertension, and lead nephropathy.骨铅、高血压与铅肾病。
Environ Health Perspect. 1988 Jun;78:57-60. doi: 10.1289/ehp.887857.
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Chelatable lead versus lead in human trabecular and compact bone.人体小梁骨和密质骨中的可螯合铅与铅
Sci Total Environ. 1987 Mar;61:201-9. doi: 10.1016/0048-9697(87)90367-6.
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Comparison of two in vitro methods of bone lead analysis and the implications for in vivo measurements.两种体外骨铅分析方法的比较及其对体内测量的意义。
Phys Med Biol. 1986 Nov;31(11):1267-74. doi: 10.1088/0031-9155/31/11/008.
10
[Non-invasive determination of bone lead in human body using X-ray fluorescence excited by 109Cd].[利用¹⁰⁹镉激发的X射线荧光对人体骨铅进行无创测定]
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引用本文的文献

1
An age-specific kinetic model of lead metabolism in humans.人类铅代谢的年龄特异性动力学模型。
Environ Health Perspect. 1993 Dec;101(7):598-616. doi: 10.1289/ehp.93101598.
2
In vivo X-ray fluorescence of lead in bone: review and current issues.骨中铅的体内X射线荧光:综述与当前问题
Environ Health Perspect. 1994 Feb;102(2):172-7. doi: 10.1289/ehp.94102172.
3
Combined electroneurographic and electromyographic studies in lead workers.铅作业工人的联合神经电图和肌电图研究。
Occup Environ Med. 1995 Jun;52(6):415-9. doi: 10.1136/oem.52.6.415.
4
Bone lead measured by X-ray fluorescence: epidemiologic methods.通过X射线荧光测定的骨铅:流行病学方法
Environ Health Perspect. 1995 Feb;103 Suppl 1(Suppl 1):105-10. doi: 10.1289/ehp.95103s1105.
5
Chronic low-level lead exposure. Its role in the pathogenesis of hypertension.慢性低水平铅暴露。其在高血压发病机制中的作用。
Med Toxicol. 1987 May-Jun;2(3):210-32. doi: 10.1007/BF03259865.
6
Toxicity of lead at low dose.低剂量铅的毒性
Br J Ind Med. 1989 Sep;46(9):593-6. doi: 10.1136/oem.46.9.593.
7
L-line x-ray fluorescence of cortical bone lead compared with the CaNa2EDTA test in lead-toxic children: public health implications.皮质骨铅的L线X射线荧光与铅中毒儿童的CaNa2EDTA试验比较:对公共卫生的影响
Proc Natl Acad Sci U S A. 1989 Jan;86(2):685-9. doi: 10.1073/pnas.86.2.685.
8
Current issues in the epidemiology and toxicology of occupational exposure to lead.职业性铅暴露的流行病学和毒理学当前问题
Environ Health Perspect. 1990 Nov;89:61-6. doi: 10.1289/ehp.908961.
9
Toxicokinetics of bone lead.骨铅的毒代动力学
Environ Health Perspect. 1991 Feb;91:33-7. doi: 10.1289/ehp.919133.
10
In vivo measurements of lead in bone at four anatomical sites: long term occupational and consequent endogenous exposure.四个解剖部位骨骼中铅含量的体内测量:长期职业暴露及随之而来的内源性暴露。
Br J Ind Med. 1992 Sep;49(9):631-44. doi: 10.1136/oem.49.9.631.