Lilis R
Am J Ind Med. 1981;2(3):293-7. doi: 10.1002/ajim.4700020309.
The case of a 61-year-old male with repeated episodes of overt clinical lead poisoning and courses of chelation therapy during his 34 years of employment in a secondary lead smelter is presented. Renal function impairment with elevated serum creatinine and blood urea nitrogen and with markedly reduced glomerular filtration rate was detected several years before the discovery of a clear cell adenocarcinoma of the right kidney. After successful surgical removal of the tumor, the patient's renal function continued its previous trend of slow deterioration.
本文介绍了一名61岁男性的病例，该患者在一家二级铅冶炼厂工作34年期间，多次出现明显的临床铅中毒发作并接受螯合治疗。在发现右肾透明细胞腺癌的数年前，就检测到其肾功能受损，血清肌酐和血尿素氮升高，肾小球滤过率显著降低。成功手术切除肿瘤后，患者的肾功能继续保持此前缓慢恶化的趋势。
