【摘要】 目的探讨铅中毒临床表现特征及其治疗和预防措施。方法回顾性分析2011年3月至2018年2月南昌大学第一附属医院收治的4例铅中毒误诊为肠梗阻患者的临床资料及其原因,并复习铅中毒的国内外相关文献。结果 4例患者均为男性,年龄(37.50±16.89)岁(24～61岁),均以腹痛为特征,腹部立位片提示肠梗阻,血铅检测结果分别为852.88μg/L、942.55μg/L、513.25μg/L、1 349.9μg/L,诊断为亚急性铅中毒。结论原因不明的肠梗阻应排除铅中毒的可能;当患者诊断为铅中毒后,应及时进行规范驱铅治疗,并教育患者如何预防铅中毒。更多还原

【Abstract】 Objective To investigate the clinical characteristics,treatment and prevention measures of lead poisoning. Methods The clinical data and causes of 4 cases of lead poisoning misdiagnosed as intestinal obstruction admitted to the First Affiliated Hospital of Nanchang University from Mar. 2011 to Feb. 2018 were analyzed,and domestic and foreign literatures on lead poisoning were reviewed respectively. Results All the 4 patients were male,mean age were(37.50±16.89) years old(24-61 years),who were characterized by abdominal pain and diagnosed as subacute lead poisoning. Abdominal X-ray showed intestinal obstruction. Blood lead test results of the patients were852.88 μg/L,942.55 μg/L,513.25 μg/L and 1349.9 μg/L,respectively. Conclusion Intestinal obstruction with unknown causes needs the exclusion of lead poisoning. Once the lead poisoning is diagnosed,it is necessary to perform chelation therapy timely and educate patients how to prevent lead poisoning.更多还原