儿童轻度铅中毒症状、体征分析及中医证候研究

Analysis on Symptoms and Physical Signs of Mild Lead Poisoning and the Study on its Syndromes in Traditional Chinese Medicine in Children

目的研究儿童轻度铅中毒的临床症状、体征,中医证候组成特征,探讨有效的中医临床诊断方法。方法对儿童轻度铅中毒的常见症状和体征进行分析,归纳该病的中医临床证型。结果①儿童轻度铅中毒的临床症状可见注意力不集中、急躁易怒、多话、胆怯易惊、多动、睡眠不宁、头晕或头痛、攻击行为、孤僻交流困难、学习困难、反应迟钝等。②儿童轻度铅中毒的证型可见肝脾不和、湿热内蕴、脾胃虚弱、肺脾气虚、肝肾阴虚、无症状型等。结论①儿童轻度铅中毒的临床主要症状为注意力不集中、急躁易怒、多话;次要症状为胆怯易惊、多动、睡眠不宁、头晕或头痛、攻击行为等。②肝脾不和、湿热内蕴、脾胃虚弱为儿童铅中毒的主要证型,肺脾气虚、肝肾阴虚、无症状型为其次。

Objective To study the clinical symptoms and physical signs of mild lead poisoning in children and the characteristics of syndromes in traditional Chinese medicine（TCM）,and to probe into the effective clinical diagnostic methods of TCM.Methods Analyze the common symptoms and physical signs of mild lead poisoning in children and synthesize the clinical syndromes of the disease in TCM.Results The clinical symptoms of mild lead poisoning in children included absent mind,irritability,hot temper,more words,timid and easily scared,hyperactivity,restless sleep,dizziness or headache,aggressive behavior,withdrawal,communication difficulty,learning difficulty and slow response.The syndromes included disharmony between the liver and spleen,internal retention of damp and heat,weakness of the spleen and stomach,qi deficiency of the lung and spleen,yin deficiency of the liver and kidney,no symptom,etc.Conclusion The primary clinical symptoms of mild lead poisoning are absent mind,irritability,hot temper and more words.The secondary symptoms are timid and easily scared,hyperactivity,restless sleep,dizziness or headache,aggressive behavior,etc.The primary syndromes are disharmony between the liver and spleen,internal retention of damp and heat,and weakness of the spleen and stomach.The secondary syndromes are qi deficiency of the lung and spleen,yin deficiency of the liver and kidney and no symptom.