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发铅检测法的临床应用价值评估
引用本文:秦俊法,陈磐华.发铅检测法的临床应用价值评估[J].广东微量元素科学,2010,17(9):1-9.
作者姓名:秦俊法  陈磐华
作者单位:1. 中国科学院上海应用物理研究所,上海,201800
2. 上海市嘉定区中心医院,上海,201800
摘    要:从铅中毒发铅诊断标准、发铅诊断试验及发铅诊断临床应用3个方面论述了发铅检测法在铅中毒诊断、筛查和监督中的实际应用问题。根据临床经验和发铅-血铅比值确定了居民发铅正常值上限及铅中毒发铅诊断分级标准;即使以血铅测定值为"金标准",诊断试验表明,发铅测定在铅中毒诊断中仍有实际应用价值;发铅检测法自上世纪60年代以来一直沿用至今,绝大多数研究者认为,发铅测定是诊断、筛查铅中毒和监督环境铅污染最简单、有效的工具。

关 键 词:头发  铅中毒诊断  发铅检测  临床应用  环境监督

The Assessment of Clinical Application Value about Hair Lead Detection
QIN Junfa,CHEN Panhua.The Assessment of Clinical Application Value about Hair Lead Detection[J].Trace Elements Science,2010,17(9):1-9.
Authors:QIN Junfa  CHEN Panhua
Institution:1.Shanghai Institute of Applied Physics,Chinese Academy of Sciences,Shanghai 201800,China;2.Jiading District Central Hospital,Shanghai 201800,China)
Abstract:From lead poisoning diagnostic criteria,diagnostic tests and clinical application of hair lead,a review with 28 referces is given on practical application of hair lead detection in lead poisoning diagnostic testing,screening and monitoring.According to clinical experience and made of lead blood lead ratio of residents,upper limit of normal hair lead poisoning diagnostic classification standard hair lead were determined;Even blood lead determined value of "gold standard" diagnostic test that made the determination of lead in lead poisoning diagnosis is still a practical application;hair lead detection method since the 1960s has been in use ever since,most researchers believe that the determination of lead is made the diagnosis,screening and supervision of environmental lead pollution,lead poisoning the most simple and effective tool.
Keywords:hair  lead poisoning diagnosis  hair lead testing  clinical applications  environmental monitoring
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