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铊盐是杀虫剂和灭鼠剂的常见成分之一。铊及其化合物可以通过口、鼻和皮肤进入人体而发生铊中毒。铊中毒的临床表现多样,诊断颇为困难。作者报道了2名妇女在工作的锅炉房里撒灭鼠剂后发生铊中毒的病例。患者1,31岁,撒药当天急性发病。主诉乏力、神经过敏、心悸失眠、头皮瘙痒疼痛、感觉麻木、脚掌灼痛多汗、小腿抽搐。体检神志清醒,血压17.33/12 kPa(130/90 mmHg),脉搏72次/min,体温36℃。神经系统检查显示膝反射和跟腱反射降低。第2天出现行为障碍,上肢腱和骨膜反射明显降低,左侧膝和跟
Thallium salts are one of the common ingredients for pesticides and rodenticides. Thallium and its compounds can thallium poisoning through the mouth, nose and skin into the body. The clinical manifestations of thallium poisoning, the diagnosis is quite difficult. The authors reported cases of thallium poisoning in two women who consumed rodenticide in the working boiler room. Patients 1,31 years old, spreading the day acute onset. The main complaint of fatigue, nervousness, palpitations insomnia, scalp itching pain, numbness, sweating of the feet sweating, calf twitching. Physical examination conscious, blood pressure 17.33 / 12 kPa (130/90 mmHg), pulse 72 beats / min, temperature 36 ℃. Neurological examination showed decreased knee reflex and Achilles tendon reflexes. Behavioral disorders occurred on the second day, and the upper limb tendons and periosteal reflexes were significantly reduced, with the left knee and heel