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我院自1984年1月～1986年7日收治铅中毒腹绞痛者23例.其中10例误诊为外科急腹症.为提高急腹症的诊断率,现总结如下.临床资料本组23例均为男性,年龄27～68岁,其中农民21例,职工2例,均有饮酒嗜好且经常饮用含铅锡壶盛的酒.所有病例均以突然发作的阵发性腹绞痛就诊,酷似外科急腹症,但与外科急腹症比,体征尚轻,仅有不固定轻度压痛.19倒体温正常者,4例低热,外周血象WBC>1万者4例.全组病例均有不同程度贫血,其中RBC<300万,
Our hospital from January 1984 to 1986, 7 were admitted to lead poisoning in 23 cases of abdominal cramps, of which 10 were misdiagnosed as surgical acute abdomen. To improve the diagnosis of acute abdomen, are summarized as follows. Cases were male, aged 27 to 68 years old, of which 21 cases of peasants, workers in 2 cases, have alcoholism and often drink lead tin pot Sheng wine .All patients were treated with sudden onset of paroxysmal abdominal colic, Resembles the surgical acute abdomen, but compared with the surgical acute abdomen, the signs are still light, only the fixed mild tenderness.19 normal body temperature down, 4 cases of low fever, peripheral blood WBC> 1 million in 4 cases.All the patients There are different degrees of anemia, including RBC <3 million,