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Epidemiology,clinical presentation,treatment,and follow-up o...

Epidemiology,clinical presentation,treatment,and follow-up of mercury poisoning in a hospital in China:a retrospective analysis

作     者:Sun Yawei Long Jianhai PengXiaobo Bai Lili Liu Sushun Lin Guodong Zhang Chengcheng Li Jiawei Ding Lei QiuZewu 

作者单位:Poisoning Treatment Department307 Hospital of People's Liberation Army of China People's Liberation Army No.520 Hospital Department of General Surgerythe SeconedXiangya HospitalCentral South University 

会议名称:《2018全国中毒救治首都论坛-暨第十届全国中毒及危重症救治学术研讨会》

会议日期:2018年

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

关 键 词:Mercury poisoning Epidemiology Electromyogram Nephrotic syndrome Prognosis 

摘      要:*** are no reports of the incidence of mercury poisoning in a large population in *** study investigated the epidemiology,clinical manifestations,and treatment outcomes of Chinese patients with mercury *** for 288 mercury poisoning patients at our hospital were collected from July 2012 to September 2017,including sex,age,admission time,blood mercury content,24-h urinary protein levels,electromyography(EMG) findings,renal biopsy,and *** characteristics were evaluated by statistical and correlation *** poisoning due to occupational exposure was more common in males in the 20-to 50 year-old age group,while female patients aged 31-50 years were more likely to experience cosmetics-related *** poisoning due to inappropriate use of Chinese folk remedies(CFRs) was observed at all ages regardless of *** most common symptoms were neurological(50.3%),renal(16.4%),and respiratory(8.0%).Of the 136 patients without complications for whom follow-up data were available,100 patients showed normal serum mercury concentration upon reexamination range 6 to 12 months after *** the 13 patients with EMG-confirmed neurological injury,10 showed full recovery after 38.5 ±8.03 *** the 18 patients with nephrotic syndrome that had successful follow-up visits,15 had normal urine protein and serum albumin levels and renal function after 22.67±10.26 ***-up visits revealed that various complications of mercury poisoning(nephrotic syndrome and peripheral nerve injury) can be alleviated by sodium dimercaptosulfonate *** of skin-lightening cosmetic products,CFP surveillance,and prevention and control of occupational contact must be improved to decrease the incidence of mercury poisoning in China.

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