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1临床资料1.1发病经过患者,男,27岁,个体商户。因全身乏力、腹痛、尿黄半月余到我院就诊。患者于半个月前曾口服2副中药汤剂(内含铅丹10 g/副)治疗“银屑病”。服药1 d后,出现全身乏力、腹部绞痛、尿黄,伴食欲减退、恶心、呕吐、腹胀,便秘与腹泻交替出现,自觉心悸、焦虑、烦躁不安及全身各关节剧痛。因怀疑上述症状与服用含铅的中药汤剂有关,于2016年1月13日至我院门诊检查尿铅增高(1.467μmol/L,正常参考值<0.58μmol/L),血铅正常(1.82μmol/L,正常参考值<2.9μmol/L)。患者于1月18日收入院治疗。入院查
1 Clinical data 1.1 After the onset of disease, male, 27 years old, individual businesses. Due to malaise, abdominal pain, urine more than half a month to our hospital. Two months ago, patients had oral administration of 2 Chinese herbal decoction (containing lead Dan 10g / deputy) treatment “psoriasis ”. 1 d after taking medication, there was generalized weakness, abdominal cramps, urine yellow, with loss of appetite, nausea, vomiting, bloating, alternating constipation and diarrhea, palpitations, anxiety, irritability and systemic pain in the joints. Because of the suspected symptoms mentioned above, the urinary lead (1.467μmol / L, normal reference value <0.58μmol / L) and normal blood lead (1.82 μmol / L, normal reference value <2.9μmol / L). Patients were admitted to hospital on January 18 for treatment. Admission check