Mowad E, Haddad I, Gemmel D J
Department of Pediatrics, Tod Children's Hospital, Youngstown, Ohio 44501, USA.
Arch Pediatr Adolesc Med. 1998 May;152(5):485-8. doi: 10.1001/archpedi.152.5.485.
To describe what is to our knowledge the first reported case of lead poisoning from ingested fishing sinkers in an 8-year-old boy for whom whole bowel irrigation and colonoscopy were required.
All relevant literature on plumbism from other swallowed foreign bodies, including curtain weights, bullets, shot, and other unusual sources, is reviewed and discussed.
Lead screening is advocated in any child presenting with a history of pica or foreign-body ingestion, especially presentations involving abdominal pain, weight loss, and emesis. Conservative management of retained foreign bodies containing lead is not recommended with persistently high lead levels. Medical and surgical intervention should be considered.
据我们所知，描述首例8岁男孩因吞食钓鱼坠导致铅中毒且需要进行全肠道灌洗和结肠镜检查的病例。
对所有关于因吞食其他异物（包括窗帘坠、子弹、铅弹和其他异常来源）导致铅中毒的相关文献进行了综述和讨论。
对于有异食癖或异物吞食史的任何儿童，尤其是伴有腹痛、体重减轻和呕吐症状的儿童，提倡进行铅筛查。对于铅含量持续偏高的留存含铅异物，不建议采用保守治疗。应考虑医学和外科干预措施。
