Baker N J
Nelson Hospital.
N Z Med J. 1995 Jun 28;108(1002):249-51.
To find the sources of lead currently poisoning people in Christchurch and Nelson and to review the presentation, epidemiology and symptoms of children with lead poisoning.
Forty seven people were admitted to hospital in Christchurch and Nelson during the 13 year period January 1981-March 1994 a retrospective case note review was performed.
Thirty four children and 13 adults had elevated lead levels. Lead based paint was the main source of lead for children requiring treatment. Most children were asymptomatic or had no specific signs and symptoms. In most cases the diagnosis was not made on clinical grounds.
Excessive lead absorption requiring hospital treatment is now most commonly seen in children. It is likely that many cases of significant lead poisoning are currently being overlooked. Medical practitioners and parents need to be made more aware of the problem. Targeted screening or population screening may be needed. Governmental efforts need to be focused on protecting children from lead exposure in the home.
找出目前在克赖斯特彻奇和纳尔逊导致人们铅中毒的铅源，并回顾铅中毒儿童的临床表现、流行病学情况及症状。
在1981年1月至1994年3月的13年期间，有47人入住克赖斯特彻奇和纳尔逊的医院，对其病历进行了回顾性分析。
34名儿童和13名成人的铅水平升高。含铅油漆是需要治疗的儿童铅的主要来源。大多数儿童无症状或无特定体征和症状。在大多数情况下，并非基于临床诊断。
目前需要住院治疗的铅吸收过量情况最常见于儿童。很可能目前许多严重铅中毒病例被忽视。需要让医生和家长更加了解这个问题。可能需要进行有针对性的筛查或人群筛查。政府的努力应集中在保护儿童在家中免受铅暴露。
