Schottenfeld R S, Cullen M R
Am J Psychiatry. 1984 Nov;141(11):1423-6. doi: 10.1176/ajp.141.11.1423.
Psychiatrists treating patients with depression or nonspecific somatic complaints seldom think of lead intoxication as a possible cause. Because occupational exposure to lead is so common, these disturbances may often be associated with lead intoxication. To facilitate earlier clinical recognition and proper treatment among the many individuals at risk, the authors describe four cases of organic affective disturbance associated with lead intoxication, review the neuropsychiatric disturbances that have been reported with chronic exposure to lead, and report the results of their experience evaluating the psychiatric aspects of lead intoxication among individuals exposed in their work.
治疗抑郁症或非特异性躯体不适患者的精神科医生很少会想到铅中毒可能是病因。由于职业性铅接触非常普遍，这些症状可能常与铅中毒有关。为便于在众多有风险的个体中实现更早的临床识别和恰当治疗，作者描述了4例与铅中毒相关的器质性情感障碍病例，回顾了慢性铅接触所报告的神经精神症状，并报告了他们在评估工作中接触铅的个体的铅中毒精神方面的经验结果。
