期刊
PEDIATRIC EMERGENCY CARE
卷 32, 期 9, 页码 616-618出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PEC.0000000000000572
关键词
bullet fragments; chelation; lead toxicity; wound debridement
Assessing victims of gunshot wounds with retained bullets/bullet fragments for lead toxicity is not always considered until the patient develops signs and symptoms of toxicity. We discuss the case of a 19-year-old young man who received a diagnosis of chronic lead toxicity (serum lead concentration 51 g/dL) 5 weeks after a hunting accident. Extensive wound debridement occurred following the accident; however, lead toxicity was not diagnosed until after his fourth emergency department visit. Oral chelation therapy was required for the management of his lead toxicity.
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