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
In laying down the general lines of treatment for both lead poisoning
and lead absorption, it is essential in the first place to distinguish
carefully between the two states; for although lead absorption may
gradually drift into definite lead intoxication and lead poisoning,
with all the classical symptoms associated with the saturnine cachexia,
a large number of cases, particularly those in industrial processes,
do not and should not progress beyond the early symptoms of lead
absorption. The treatment, therefore, will depend in the first place on
whether the case be one so constantly met with in industrial processes,
where generalized symptoms of lead absorption are manifest without any
definite and disabling symptoms traceable and sufficiently pronounced
to enable a diagnosis of lead poisoning to be made.
The facts given in the chapter on Pathology, on the methods of entrance
of lead, on the toxic manifestations, and the blood-changes, and, above
all, the facts relating to microscopical hæmorrhages and other profound
changes in the bloodvessels, point clearly to the lines along which the
general treatment for amelioration, prevention, or cure of poisoning
should be undertaken.
The treatment of the so-called “presaturnine state,” or what is
preferably termed the “state of lead absorption,” is one that the
appointed surgeon or certifying surgeon in lead factories or other
processes in which lead is manufactured or used, is constantly called
upon to treat. Lead poisoning is a definite entity as a disabling
disease, whereas lead absorption, although the prodromal stage of
such disease, cannot be defined as actual lead poisoning, as in many
instances persons may show signs of continued lead absorption, but
their powers of elimination can be maintained at such a level that the
ratio of absorption to elimination remains in equilibrium.
With the preventive treatment of lead poisoning we have dealt in
another place (see p. 199). What is particularly required here is the
medicinal treatment, which may be helpful in preventing lead absorption
passing on to definite lead poisoning.
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