Trenkwalder P, Bencze K, Lydtin H
Dtsch Med Wochenschr. 1984 Oct 12;109(41):1561-6. doi: 10.1055/s-2008-1069413.
In a 42-year-old man with abdominal symptoms, loss of hair and increasing distal polyneuropathy in both legs, the clinical suspicion of thallium poisoning was confirmed by urinary and blood analysis. Hair analysis provided a pointer to the time of poisoning. In addition to symptomatic measures, treatment consisted of administration of potassium-iron (III) hexacyanoferrate (II) (Berlin blue), combined with forced diuresis. Despite the overall favourable course, residual symptoms of distal polyneuropathy were still present 6 months after discharge from hospital.
一名42岁男性出现腹部症状、脱发以及双腿远端多发性神经病变加重,尿液和血液分析证实临床怀疑铊中毒。毛发分析为中毒时间提供了线索。除了采取对症措施外,治疗包括给予六氰合铁(II)酸钾铁(III)(普鲁士蓝),并结合强制利尿。尽管总体病程良好,但出院6个月后仍存在远端多发性神经病变的残留症状。