铅中毒所致急性腹痛的诊治体会

[研究背景 ]铅中毒所致的急性腹痛易与外科急腹症混淆 ,临床上往往被忽视 ,导致误诊或延迟诊断 .[病例报告 ]3例病例接诊时均误诊为急腹症 ,后经尿铅检查确定诊断 ,3例均系服用中药秘方所致 .[讨论 ]对突然发作的阵发性腹部绞痛而腹部体征不典型者应考虑铅中毒的可能性 .

Diagnosis and treatment experience of acute abdominal pain resulted from lead poisoning

BACKGROUND The acute abdominal pain induced by lead poisoning is easy to confuse with surgical acute abdomen and to be usually ignored in clinic to make misdiagnosis or delay diagnosis. CASE REPORT 3 cases of lead poisoning were induced by taking the traditional Chinese medicine and misdiagnosed as acute abdomen when hospitalization, but final confirmed diagnosis was made through checking lead contents in urine. DISCUSSION When patient suddenly break out episodic abdominal colic but his abdominal sign is not typical, it must be thought the possibility of the lead poisoning.