Xinhua Hospital of Shanghai second Medical University Professor Yan Chonghuai, through the analysis of four typical cases, said after the parents to observe the daily behavior of children on the one hand, should study of family living conditions and diet on the one hand, if the two aspects are potentially associated with lead poisoning, only need to bring the child to lead.
Case one: children with a Lee, male, aged 6, lively, active, demon, and fussy eating, loving gnawed nails, a few years were not cut nails, wash hands before meals is not love, even if the wash without SOAP, father and grandfather are non-smoking. Intravenous blood lead determination for 112 µg/l, diagnosed with mild lead poisoning. Hospital through the analysis of risk factors, and guidance and nutrition guidance, correct the bad habits of a baby gnawed nails, children washing hands before meals is also serious. Adults as far as possible avoid passive smoking in children at home, at the same time correcting habits of children finicky, drink two glasses of milk every day, balanced nutrition. After 3 months of review, blood lead to 73 micrograms/liter.
Case two: children with Wang, female, 4 years old, without any symptoms, growth is good, articulate, IQ tests in the normal range. Intravenous blood lead testing for 169 μg/liter, diagnosed with mild lead poisoning. History asks usually eat egg was informed that the home, children often eat, preserved in a variety of eating almost to eat preserved egg congee with lean meat several times a week. Under the doctor\'s advice,
Stop child to eat preserved eggs, without any lead drug treatment, blood lead levels dropped to 2 months after the review 86 µg/l (some very high level of lead in preserved egg, in particular through traditional craft making preserved egg, additives containing lead oxide).
Case three: a male children, aged 10, suffering from skin diseases 3 years, taking Chinese medicine clinic self-made capsule for 1.5 years in a row, often experience constipation, abdominal pain, dizziness, and accompanied by anaemia. Doctors discovered he had a lead line teeth, blood lead level of 350 mg/l. By determine lead content in children taking a capsule is very high, diagnosed with lead poisoning in chronic drug-induced (moderate). Immediately stop using this kind of traditional Chinese medicine (part of the treatment of skin diseases of Chinese medicine containing high concentrations of lead, long-term use can cause lead poisoning), tested positive for lead test, after a course of lead drop in blood lead levels after treatment to 173 µg/l. Are children with constipation, abdominal pain disappeared, cured of anemia.
Case four: a boy aged 5, parents are working in a small battery recycling plant, recycling battery lead plate, production of lead ingots. Since the birth of a child after six months, the whole family eats live at the factory, and children walk every day in the workshop after play, kindergarten small classes, not 1-10, language ambiguity, intelligence significantly behind, kindergarten hemoglobin found during examination only 80 grams/liter, was hospitalized due to unexplained severe abdominal colic treatment. Tooth lead-line hospital examination found that there is a clear, low IQ test results clearly, x-rays found that bones have a typical lead line, lead 784 µg/l in blood, diagnosed as severe lead poisoning, once the boy was hospitalized. Symptomatic improvement after two treatment courses and discharged, but because the level of blood lead may also rebound still need continuous treatment.
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