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你的年轻患者会是铅中毒吗?

Could your young patient have lead poisoning?

作者信息

Vimpani G

机构信息

University of Newcastle.

出版信息

Aust Fam Physician. 1995 Aug;24(8):1446-7, 1450-3.

PMID:7677613
Abstract

While clinical symptoms of classic lead poisoning are rare in Australian children, elevated body lead burden may have a small but treatable contribution to developmental and behavioural problems in individual children; its cumulative neurodevelopmental impact on populations of children is a greater public health concern. Children with blood leads over 15 micrograms/dL require blood lead monitoring and if persistently elevated assessment of potential environmental sources is indicated; children with lead levels over 25 micrograms/dL should be seen by a paediatrician. Chelation is not indicated in children with blood leads less than 55 micrograms/dL.

摘要

虽然典型铅中毒的临床症状在澳大利亚儿童中很少见,但体内铅负荷升高可能对个别儿童的发育和行为问题有微小但可治疗的影响;其对儿童群体累积的神经发育影响是一个更大的公共卫生问题。血铅超过15微克/分升的儿童需要进行血铅监测,如果持续升高,则需评估潜在的环境来源;血铅水平超过25微克/分升的儿童应由儿科医生诊治。血铅低于55微克/分升的儿童不需要进行螯合治疗。

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