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
The symptomology of nervous diseases associated with lead poisoning has
already been carefully set out in Chapter IX., and the pathological
changes underlying these symptoms in Chapter V.
Of the general treatment, little needs to be added to what has
already been stated for the treatment of lead anæmia and general lead
intoxication. Iron and arsenic (not strychnine, especially in presence
of colic), and other similar drugs, should be employed together with
iodides either as potassium iodide or as an injection in the form of an
organic compound, of which there are several varieties on the market.
The injection of normal serum has been advised, as well as saline
injections, and in some instances venesection has been practised,
but it is doubtful whether anything is to be gained by this form of
treatment.
Further, it has been stated that some lead is excreted through the
skin, and for this reason sulphur baths, bathing in sulphuretted
hydrogen water, etc., have been recommended to neutralize any lead that
has gained access to the skin. Serafini[10] has claimed that by means
of electrolytic baths a certain amount of lead can be found present
in the water after continuous passing of a current, and it has been
supposed by these observers that the lead has been actually driven out
of the body under the action of the electric current. It is, of course,
possible that such lead as is discoverable in the water was merely that
which had already become incorporated with the patient’s skin through
mechanical contact.
Whatever form of treatment be adopted of a general type, the patient
must certainly be removed from the chance of any further lead
absorption; a person who is suffering from wrist-drop or other form of
paresis should not be employed in any portion of a lead works where he
may come into contact with any form of lead or its compounds for at
least a year after the paresis has disappeared, and even then it is
inadvisable for such a person to return to any form of dangerous lead
work.
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