Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
=Blood-Pressure.=--Several methods are available for the estimation
of the blood-pressure. The pressure may be roughly estimated as too
high or too low by means of the finger. The presence of thickening of
the arteries may be also estimated in this way, but for determining
the absolute blood-pressure it is necessary to use one or other of
the instruments on the market. The estimation of blood-pressure
is an important point in relation to the suspected presence of
arterio-sclerosis, and should be performed wherever possible.
Sphygmographic tracings may also be taken. Such a tracing in a case of
typical poisoning gives a peculiar form of curve, which, however, may
be present in alcoholism and heavy work, and arterio-sclerosis of many
types.
=Urine Examination.=--In suspected cases of lead poisoning the
examination of the urine may reveal the presence of lead. In addition,
albumin is frequently present, especially in the early stages of
kidney inflammation. The ordinary tests for albumin should be carried
out, and it is also advisable to examine the urine spectroscopically,
as at times hæmoglobin, methæmoglobin, hæmatoporphyrin, may be
present in small quantities, each of which can be detected by means
of spectroscopic examination. Blood is not common in the urine of
lead-poisoned persons, although microscopically hæmorrhages undoubtedly
take place in the kidney. These hæmorrhages are interstitial, and as a
rule do not cause any blood-pigment to be passed in a quantity that can
be determined. It is as well, however, to centrifugalize the urine, and
examine the deposit for red blood-cells.
The presence of hæmatoporphyrin, as suggested by Steinberg[10], is
probably due to hæmorrhages in the intestine, and its presence in the
urine should be regarded with suspicion in a lead-worker.
Where a lead-worker is suffering from continued absorption of lead,
even without the manifestation of other symptoms, a change has been
noted in the acidity of the blood--namely, a loss of normal alkalinity.
The estimation of the alkalinity or acidity of the blood direct is an
exceedingly difficult process, but much information may be obtained by
careful estimation of the acidity of the urine, and of the acidity of
the urine in relation particularly to the phosphates.
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