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
When treated in the first week or two of the onset, lead paresis
frequently recovers, and in a person suffering from lead palsy for the
first time, confined only to the hands or to a group of muscles in the
shoulder, prognosis is good. The prognosis of palsy of the lower limbs
is not so good.
Paralysis of the facial nerve is occasionally seen in lead poisoning,
and where this occurs it should be treated as previously recommended,
by means of iodides in association with localized electrical treatment.
One pole of the battery should be placed below the external auditory
meatus, and the other one passed over the face on the affected side.
In long-standing cases where no attempt has been made at treatment
in the early stages of the disease, and where considerable muscle
degeneration has already taken place, the prognosis as a rule is
very bad. Efforts should always be made in an early case by passive
movements and massage of the affected muscles to improve their
nutrition as far as possible. The diet should be light, and alcohol
should not be given at any time.
=Affections of the Central Nervous System.=--The typical form of
affection of the central cerebral nervous system caused by lead, is
lead encephalopathy. The disease may be insidious in its onset, and may
be preceded by a long stage of chronic headache with slight or total
remissions. Headaches may last for several months before the actual
acute stage of the disease is reached. In the examination of several
brains of persons who have died from lead encephalitis, microscopic
sections of the brain have shown signs of hæmorrhages which must have
taken place some considerable time prior to death, and were no doubt
associated with the headache that had been complained of for some
time previously, before the onset of the fatal illness. (See Plate
III.) Persistent headache occurring in a lead-worker should always be
regarded with grave suspicion, and such a case should be treated on the
assumption that it is an early case of lead encephalitis. Bromides and
iodides should be given, and the patient placed in quiet surroundings,
and fed on light, nutritious diet, and every attempt made to produce
elimination of the poison.
In the acute attacks vaso-motor spasm is no doubt partially accountable
for the symptoms, and various dilators, previously noted in discussing
colic, may be made use of, such, for instance, as amyl nitrite,
scopolamine, etc., whilst pyramidon, antipyrin, phenacetin, and other
similar drugs may be given between the attacks. Under no circumstances
should any person who has suffered from encephalitis or other cerebral
symptom of lead poisoning be allowed to resume work in a lead industry.
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