Barry P S, Mossman D B
Br J Ind Med. 1970 Oct;27(4):339-51. doi: 10.1136/oem.27.4.339.
339-351. A study of 69 subjects at post-mortem, four of whom had histories of occupational exposure to lead, demonstrated a marked difference in the lead concentrations between bones and soft tissues. The soft tissues of infants and young children contained low concentrations of lead, varying from 0·01 ppm in muscle to 0·46 ppm in liver. By the end of the second decade of life the concentrations of lead in most of the soft tissues showed values varying between 0·06 ppm in muscle and 1·35 ppm in liver and thereafter did not increase with advancing age. The concentrations of lead in bone were considerably greater than those in soft tissues, being about 1 ppm in infants and young children and increasing to more than 40 ppm in persons over the age of 50 years. Adult male bones contained more lead than adult females by a ratio of 3 to 2, and in both sexes the long bone contained concentrations of lead two and a half times that observed in the flat bone. No marked difference was noted in lead concentrations between the corresponding soft tissues of the two sexes. From the findings it appeared that in adults the total body burden varied widely from subject to subject. Nearly 95% was represented by the lead content in bone, of which more than 70% was in dense bone. A far lower concentration of lead was found in the bones of children than in those of adults, but there was less divergence in the lead concentrations in the soft tissues. The total lead content in the soft tissues of the majority of the subjects investigated appeared to be relatively stable and did not correlate with levels in bone. The four male subjects with known occupational exposure to lead had greater concentrations of lead in bone than those with no known occupational exposure, but no difference was noted in the soft tissues between the two groups, with the exception of the most heavily exposed subject in whom concentrations of lead in the brain were over 4 ppm and in the aorta 28 ppm. Hair and nails were found to contain relatively high concentrations of lead, approximately 20 ppm; some significance may be attached to this finding in a medico-legal context. The findings of this study would suggest that the present intake of lead among the general population is no greater than in the past.
339 - 351。一项对69名受试者进行的尸检研究表明,其中4人有职业性铅接触史,骨骼和软组织中的铅浓度存在显著差异。婴幼儿的软组织中铅浓度较低,肌肉中为0.01 ppm,肝脏中为0.46 ppm。到20岁末,大多数软组织中的铅浓度在肌肉中为0.06 ppm至肝脏中为1.35 ppm之间变化,此后随年龄增长不再增加。骨骼中的铅浓度远高于软组织,婴幼儿约为1 ppm,50岁以上人群则增至40 ppm以上。成年男性骨骼中的铅含量比成年女性多,比例为3比2,且在两性中,长骨中的铅浓度是扁骨中的2.5倍。两性相应软组织中的铅浓度未发现明显差异。从研究结果来看,成年人的全身铅负荷个体差异很大。近95%由骨骼中的铅含量代表,其中70%以上存在于致密骨中。儿童骨骼中的铅浓度远低于成年人,但软组织中的铅浓度差异较小。大多数被调查受试者软组织中的总铅含量似乎相对稳定,与骨骼中的铅含量无关。4名已知有职业性铅接触史的男性受试者骨骼中的铅浓度高于无职业性铅接触史者,但两组软组织中除暴露最严重的受试者外无差异,该受试者大脑中的铅浓度超过4 ppm,主动脉中的铅浓度为28 ppm。发现头发和指甲中铅浓度相对较高,约为20 ppm;在法医学背景下,这一发现可能具有一定意义。该研究结果表明,普通人群目前的铅摄入量并不比过去更高。