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慢性砷中毒个体的康复:医学、心理及社会影响

Rehabilitation in an individual with chronic arsenic poisoning: medical, psychological, and social implications.

作者信息

McFall T L, Richards J S, Matthews G

机构信息

Department of Physical Medicine and Rehabilitation, University of South Carolina Medical School, Charleston 29425, USA.

出版信息

J Spinal Cord Med. 1998 Apr;21(2):142-7. doi: 10.1080/10790268.1998.11719523.

Abstract

Although arsenic poisoning was a common cause of homicide in the past, it is seldom suspected today; thus there may be serious delays in diagnosis and treatment of arsenic ingestion. Rehabilitation specialists have traditionally dealt with the debilitating consequences of the classic arsenic-induced sensorimotor peripheral neuropathy; however, a knowledge of the presentation of acute toxicity combined with the effects of chronic exposure is essential for proper treatment, particularly in the event of ongoing exposure. This case report demonstrates the wide spectrum of medical complications associated with arsenic poisoning and briefly reviews its pathophysiology and treatment from both the medical and psychosocial perspective.

摘要

虽然过去砷中毒是常见的杀人原因,但如今很少被怀疑;因此,砷摄入的诊断和治疗可能会出现严重延误。传统上,康复专家处理经典的砷中毒所致感觉运动性周围神经病的衰弱后果;然而,了解急性毒性表现以及慢性暴露的影响对于正确治疗至关重要,特别是在持续暴露的情况下。本病例报告展示了与砷中毒相关的广泛医学并发症,并从医学和社会心理角度简要回顾了其病理生理学和治疗方法。

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