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铅中毒误作急性卟啉病1例报道

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1例服用民间药丸致铅中毒的患者因连续两次电化学法血铅检测结果正常、晒尿法卟胆原定性试验阳性逐拟诊急性卟啉病.然而,急腹痛并溶血甚至肝功能损伤才是铅中毒与急性卟啉病的鉴别要点.
Lead poisoning misdiagnosed as acute porphyria:one case report
A patient who developed lead poisoning after taking folk medicine pills was initially suspected to have acute porphyria due to normal blood lead levels in two consecutive tests conducted by the electrochemical method and a positive result in the qualitative porpho-bilinogen test using the sun-exposure method.However,acute abdominal pain,hemolysis,and even liver function impairment are the key features that distinguish lead poisoning from acute porphyria.

Lead poisoningPorphyriasAcute abdominal painHemolytic anemiaLiver injury

康凌玲、刘泽林、郭翔、钟楠、张厚德

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华中科技大学协和深圳医院(南山医院)消化内科,广东 深圳 518052

华中科技大学协和深圳医院(南山医院)血液内科

深圳市职业病防治院

铅中毒 卟啉病 急性腹痛 溶血性贫血 肝脏损伤

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(12)