頁籤選單縮合
題 名 | 鉛中毒引起四肢無力--案例報告=Case Report--Lead Poisoning Developing Muscle Weakness |
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作 者 | 陳蓉芳; 王慧瑜; | 書刊名 | 藥學雜誌 |
卷 期 | 29:4=117 2013.12[民102.12] |
頁 次 | 頁117-121 |
分類號 | 418.735 |
關鍵詞 | 鉛中毒; CaEDTA; Lead poisoning; |
語 文 | 中文(Chinese) |
中文摘要 | 鉛中毒常會被延誤診斷或誤診為急性腹痛。此案例為 50歲女士,過去病史有高血壓、及慢性腎衰竭使用腹膜透析治療,入院前一週病人即有腹痛、噁心和便秘等情形。入院後病人除腹痛外合併有四肢無力等情形,住院期間曾因血氧偏低緊急插管。此案例懷疑因長期服用中藥而導致鉛中毒;在檢驗部分病人呈現貧血 (Hb = 9.3 g/dL)和血鉛濃度過高 (Pb = 145.2 μg/dL)。經由 CaEDTA治療後,血鉛濃度由 145.2→98.6→42.3→25.7 ug/dL。四肢無力及胃腸道不適等症狀皆已改善。 |
英文摘要 | The diagnosis of lead toxicity is often delayed and abdominal pain is mistaken for acute abdomen. We describe the poisoning of 50-year old female as a result of the use of traditional Chinese medicine. The patient had history of chronic kidney disease on continuous ambulatory peritoneal dialysis for five years and hypertension for seven years. She presented with one week of abdominal pain, as well as nausea, and constipation. The patient was taken to hospital and developed progressive generalized weakness and difficultly respiratory. Microcytic microchromic anemia (hemoglobin 9.3 g/dL) and high blood lead level (145.2 μg/ dL) were found. A diagnosis of lead poisoning was made and course of chelating treatment started with intravenous calcium disodium ethylenedia minetetraacetate (CaEDTA). We preformed CaEDTA chelation therapy twentyl times. The blood lead level was 145.2, 98.6, 42.3, and 25.7 μg/dL, respectively. Motor neuropathy, and gastrointestinal symptoms disappeared. |
本系統中英文摘要資訊取自各篇刊載內容。