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宾夕法尼亚大学兽医院的犬类铅中毒情况。

Lead poisoning in dogs at the University of Pennsylvania Veterinary Hospital.

作者信息

Kowalczyk D F

出版信息

J Am Vet Med Assoc. 1976 Mar 1;168(5):428-32.

PMID:815231
Abstract

Twenty-seven dogs with lead poisoning were admitted to the University of Pennsylvania Veterinary Hospital from July, 1963, to April, 1975. The major source of the lead was paint. A common history was ingestion of plaster or paint scrapings during room renovation. Most of the dogs were less than 1 year old and had clinical signs referable to the gastrointestinal or the nervous system, or both. The gastrointestinal signs, in order of frequency, were vomiting, anorexia, tender abdomen, diarrhea, and constipation. The neurologic signs, in order of frequency, were hysteria, convulsions, ataxia, blindness, and mydriasis. The finding of many nucleated erythrocytes without severe anemia was nearly pathognomonic for lead poisoning. Of 14 affected dogs subjected to abdominal radiography, 9 had evidence of ingested radiopaque material. A mean blood lead concentration of 18.8 mug/100 ml, with a range of 0 to 50 mug/100 ml, was found for 26 dogs that were hospitalized for problems unrelated to lead poisoning. Of the 27 dogs with lead poisoning, 22 had their blood analyzed for lead. This group had blood lead values ranging from 40 to 530 mug/100 ml. Seven of the affected dogs were monitored throughout their period of treatment with calcium ethylenediaminetetraacetate. The concentration of lead in the blood decreased quickly after the initiation of treatment but leveled off after 2 or 3 days. The initial rapid phase probably corresponded to the removal of weakly bound or extracellular lead, whereas the slow phase probably corresponded to strongly bound or intracellular lead.

摘要

1963年7月至1975年4月期间,27只患有铅中毒的犬被收治于宾夕法尼亚大学兽医院。铅的主要来源是油漆。常见病史为在房屋翻新期间摄入灰泥或油漆碎屑。大多数犬年龄小于1岁,有涉及胃肠道或神经系统或两者的临床症状。按出现频率排序,胃肠道症状依次为呕吐、厌食、腹部压痛、腹泻和便秘。按出现频率排序,神经症状依次为癔症、惊厥、共济失调、失明和瞳孔散大。发现许多有核红细胞而无严重贫血几乎是铅中毒的特征性表现。在接受腹部X线摄影的14只患病犬中,9只显示有摄入不透射线物质的证据。26只因与铅中毒无关的问题住院的犬,其平均血铅浓度为18.8μg/100ml,范围为0至50μg/100ml。27只患有铅中毒的犬中,22只进行了血铅分析。该组血铅值范围为40至530μg/100ml。7只患病犬在整个乙二胺四乙酸钙治疗期间接受监测。治疗开始后血铅浓度迅速下降,但2或3天后趋于平稳。最初的快速阶段可能对应于弱结合或细胞外铅的清除,而缓慢阶段可能对应于强结合或细胞内铅。

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