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我省 X 地为地氟病区,有不少氟骨症患者,近年来又发现一批有明显骨骼畸形(主要是下肢)的少年儿童,其 X 线改变不同于当地典型的氟骨症患者,主要表现为骨骼疏松、软化与畸形。因从当地居民主食的以高岭土拌煤烘烤的玉米中检测出含量很高的氟和铝,故疑为氟—铝联合中毒所致。为明其究竟,我们从临床入手,一方面矫治病人,另一方面从中进行探索。一年来已诊治3例,现初步总结如下。临床资料3例中男性1例,女性2例;年龄分别为14、14、11岁。母均患氟骨症。母奶喂养至1岁左右进食玉米饭。1(6/12)～2岁开始行走,后逐渐出现下肢畸形(X、X、O 型腿)。无可致骨折的外伤史。体检:发育营养均差。智力中下。跛行。
There are many patients with skeletal fluorosis in X area in our province. In recent years, a number of children with obvious skeletal deformities (mainly lower extremities) have also been found. Their X-ray changes are different from those of typical skeletal fluorosis patients , Mainly for osteoporosis, softening and deformity. Due to the detection of high levels of fluorine and aluminum from maize bred by kaolin mixed with the staple food of the local residents, it is suspected to be due to the combined fluoro-aluminum poisoning. To clarify the fact, we start from the clinic, on the one hand orthodontic treatment of patients, on the other hand to explore. Three cases have been diagnosed and treated in the past year, and the preliminary findings are as follows. Clinical data in 3 cases, 1 males and 2 females; aged 14,14,11 years old. The mother is suffering from skeletal fluorosis. Breastfeeding up to 1 year old eating corn meal. 1 (6/12) ~ 2 years old began to walk, and gradually lower limb deformities (X, X, O-leg). No history of trauma can cause fractures. Physical examination: development and nutrition are poor. Intellect in the next. limp.