职业性慢性铅中毒引起中毒性肝病,临床上实属少见,现将我院收治的一例报告如下。 病例报告 龚××,男,21岁,电瓶制作工,工龄2年,住院号000783。因头昏、乏力、食欲不振一月,加重伴恶心、腹痛8天,于1980年1月3日上午入院。 患者从事电瓶制作3年,具体工作为焊接铅板和充电。入院前一月逐渐感觉疲乏无力、头昏、食欲不振,为了增进食欲,患者于晚餐时进食酸辣面较平时为多,并且每次吃面时放入较多的醋(20克左右)。入院前8天上述症状加重,食欲明显减退,恶心、厌油、下腹部隐痛,但尚可忍受,继续坚持工作。入院前5天,腹痛变为全腹(?)痛同时伴腹胀,患者开始在当地县医院就诊,经服用止痛药水(药名不详),Vitb1、Vitc等,但疼痛未能缓解。入院前4天再次就诊住进县医院观察室。查肝功CFT(一)TTT2单位,ZTT6单位,SGPT520活性单位,黄疸指数10 Occupational chronic lead poisoning caused by toxic liver disease, it is rare clinical, now admitted to our hospital a case report is as follows. Case Report Gong × ×, male, 21 years old, battery maker, 2 years of service, hospital number 000783. Due to dizziness, fatigue, loss of appetite in January, aggravated with nausea, abdominal pain for 8 days, on January 3, 1980 morning admission. Patients engaged in battery production for 3 years, the specific work for the welding lead plate and charging. Before January, I gradually felt tired and weak, dizzy and poor appetite. In order to increase my appetite, patients were fed with more spicy noodles at dinner, and more vinegar (about 20 grams) was added to each noodle. 8 days before admission the above symptoms aggravated, appetite decreased significantly, nausea, tired of oil, pain in the lower abdomen, but can tolerate and continue to adhere to the work. Five days prior to admission, the abdominal pain turned into a full abdomen (?) Pain accompanied by abdominal distension. The patient started treatment at a local county hospital. After taking painkiller (drug name unknown), Vitb1, Vitc and the like, the pain was not alleviated. 4 days before admission admitted to county hospital observation room again. Liver function CFT (a) TTT2 units, ZTT6 units, SGPT520 activity units, jaundice index 10