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目的探究表现为腰腿痛的隐匿性汞中毒误诊病例的诊治方法和效果。方法随机选取2013年4月~2014年4月本院收治的10例表现为腰腿痛的隐匿性汞中毒误诊患者资料,分析典型病例的发病过程、临床表现、诊断结果、治疗过程、治疗效果和预后。结果 10例患者中8(80.00%)例汞中毒由使用化妆品引起,所有患者治疗前疼痛程度评分为(2.58±0.26)分,治疗后2周疼痛程度评分为(0.73±0.15)分,提示患者治疗2周后腰骶部位和双下肢疼痛明显减轻。结论对不明原因的腰骶部疼痛和双下肢疼痛患者进行诊断时,应详细询问其是否有化妆品使用史、医源性汞中毒史等可能导致重金属中毒接触的致病因素,以提高汞中毒的早期确诊率,从而避免延误治疗。
Objective To investigate the diagnosis and treatment of misdiagnosed cases of occult mercury poisoning manifested as low back pain. Methods The data of misdiagnosis of occult mercury poisoning in 10 cases of low back and leg pain in our hospital from April 2013 to April 2014 were randomly selected. The course of disease, clinical manifestation, diagnosis, treatment and treatment of typical cases were analyzed. And prognosis. Results 8 (80.00%) cases of mercury poisoning in 10 patients were caused by the use of cosmetics. All patients had a pain score of (2.58 ± 0.26) before treatment and a pain score of (0.73 ± 0.15) 2 weeks after treatment, suggesting that patients Two weeks after treatment, the lumbosacral region and lower extremity pain were significantly reduced. Conclusions For patients with unknown reasons of lumbosacral pain and lower extremity pain, patients should be asked in detail if they have any history of cosmetic use, history of iatrogenic mercury poisoning, and other factors that may lead to exposure to heavy metal poisoning to increase mercury poisoning Early diagnosis, so as to avoid delays in treatment.