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【目的】对某些已发表的有关铅中毒的文章结果存疑,对全血铅元素检测中铅中毒检测结果统计分析以做对照,进行比较分析。【方法】选取西安市儿童医院2006年8月~2007年5月10个月中所有6个月~18岁13 870例就诊儿童的全血元素铅、镉检测结果,进行统计分析。【结果】13 870例儿童血清铅检测高于100μg/L者1 257例,检出率9.06%,其中高于200μg/L的铅中毒者仅67例,占4.8‰。然而在某些地区健康儿童中铅中毒检出率竟高达72.35%(P值<0.005),值得推敲其原因。【结论】尽快根据我国卫生部出台《儿童高铅血症和铅中毒预防指南》,对广大儿童保健及儿科临床医生进行培训,正确认识铅中毒的预防、诊断、治疗。做好儿童保健中有关铅中毒的健康教育工作,以尽量减少高铅血病和铅中毒的发生率。
【Objective】 Some published articles about lead poisoning are doubtful. The results of lead poisoning in whole blood lead test are statistically analyzed for comparison and analysis. 【Methods】 The lead and cadmium detection results of 13 870 children from 6 months to 18 years of age attending the clinic in Children’s Hospital of Xi’an from August 2006 to May 2007 were selected for statistical analysis. 【Results】 The results showed that 1370 children were detected with 1 257 serum lead levels higher than 100 μg / L, with a detection rate of 9.06%. Only 67 cases of lead poisoning were detected at 200 μg / L, accounting for 4.8 ‰. However, in some areas, the detection rate of lead poisoning in healthy children was as high as 72.35% (P <0.005), and it is worth considering the reason. 【Conclusion】 As soon as possible, according to the “Guidelines for Preventing Children with Heparinism and Lead Poisoning” issued by the Ministry of Health of China, we should train the majority of children’s health and pediatric clinicians to correctly understand the prevention, diagnosis and treatment of lead poisoning. Health education on lead poisoning in child health should be done to minimize the incidence of high blood lead and lead poisoning.