摘要
汞中毒患者可以出现神经-精神症状及口腔黏膜、皮肤、肾脏、周围神经损害等全身性症状。病史明确的患者早期进行药物驱汞治疗是首选治疗方法,且疗效较好。本文2例汞中毒患者均因化妆品含汞导致,均有皮肤损害,症状均表现为腰骶区及四肢肌肉痛,但是汞中毒病史隐匿,导致前期误诊为腰腿痛及不明原因神经损伤,误行其他治疗,延误了驱汞治疗,造成了患者经济损失及身体的损伤。慢性汞中毒导致疼痛为主要症状的患者中,很大一部分是美白化妆品含汞导致。故年轻女性出现不明原因的腰骶痛,尤其是四肢对称性分布的疼痛伴有皮肤损害,医生应详细追问化妆品、医源性等可能导致汞接触的致病因素,有利于早期明确诊断,避免误诊误治。
A series of systemic symptoms such as nerve - psychiatric symptom, damages of oral mucosa and skin, kid- ney lesions, peripheral nerve lesions may occur in mercury poisoning patients. Drug mercury displacement treatment, the pre- ferred choice for patients with a definite history, has a good effect. In this paper, both of the patients were caused by mercury in cosmetics with skin damages. The symptom manifested as pains in lumbosacral region and extremities, but their histories were oc- cult, thus leading to misdiagnosis at early stage as lumbago - leg pain or unexplained nerve damages, then to misuse of other treatments and to delays of mercury displacement treatment. Most patients with chronic mercury poisoning caused pains as main symptoms are caused by whitening cosmetics containing mercury. So young females with unexplained lumbosacral pains, espe- cially those with pains symmetrically distributing in limbs accompanied by skin damages, should be asked the causative factors such as cosmetics, iatrogenic factors probably leading to mercury exposure, which is conducive to early diagnosis to avoid misdi- agnosis and mistreatment.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第14期1661-1662,共2页
Chinese General Practice
关键词
腰腿痛
汞中毒
误诊
Lumbago - leg pain
Mercury poisoning
Diagnostic errors
