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女子私人诊所连服32天中药 10天瘦30斤查出铅中毒
40岁女子10余天滴水不进,生生饿瘦了近30斤,到医院一查,竟是服中药导致铅中毒惹的祸。
10天前,在家休息的孙女士突发剧烈腹痛腹胀、发热,大便解不出,还伴有酱油色小便;10余天滴水不进的孙女士生生饿瘦了近30斤。到医院检查后,孙女士并没有肠梗阻的现象。医生经过再三询问,孙女士回忆说她患有关节腔积液,经熟人介绍曾在私人诊所服过32天中药。医生怀疑孙女士可能是服中药导致的重金属中毒。
于是,孙女士被转到武汉市职业病防治院。检查发现,孙女士血液中的铅含量有699.59μg/L,远远超出了正常标准,而她的腹痛正是铅中毒的典型表现之一的铅绞痛。
该院吴洁医师说,孙女士属于短时间内吸收大量的铅导致的亚急性铅中毒伴有溶血和铅绞痛。据统计,1981年-2009年间我国因服用中药致铅中毒的病例有1082人,其中88.5%为个案,不少是因误信民间偏方所致。
专家解释,中国最早的药学专著《神农本草经》就有铅丹与铅粉治病的记载。李时珍的《本草纲目》收载铅类药物增加到金属铅、铅粉、铅霜、铅丹及密陀僧等5种。当代中医界仍在广泛使用的主要有铅丹和密陀僧。另外还有中成药黑锡丹、二味黑锡丹等,含铅量高达15%。外科用做狗皮膏药等的膏药基质,是用铅丹制成的,经常使用,经皮肤缓慢吸收,也会发生铅中毒。这些含铅中药可用于治疗关节疾病、癫痫、风湿等疾病,大量使用可出现铅中毒。
责任编辑:都基强 CN065
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