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经检查 1名油漆工血铅水平较高 (12 2 0 μg/ L) ,多次用 EDTA药物进行螯合治疗且疗效较好 ,后其又继续做油漆工作。之后其发展为高血压并接受了最后1次螯合治疗。曾多次测定其血铅和骨铅水平并将铅水平维持在常规临床参数范围内。尽管相继增加了抗高血压药的剂量和新的治疗手段 ,但其血压已变得难以控制。后开始添加钙剂和高钙饮食其血压开始明显下降。该病例提出 :是否铅暴露及暴露程度影响高血压的发展 ,铅导致的高血压是否是高血压的一个亚型 ,这种高血压需要接受饮食钙治疗。
After checking that one paint worker had a high level of blood lead (120 2 μg / L), chelation therapy with EDTA drugs was repeated several times and the curative effect was good. After that, he continued to paint. After that it developed hypertension and received the last chelation. Blood lead and bone lead levels have been determined many times and lead levels have been maintained within routine clinical parameters. Despite the increased doses of anti-hypertensive drugs and new treatments, their blood pressure has become unmanageable. After starting to add calcium and high calcium diet, blood pressure began to decline significantly. The case presents whether lead exposure and exposure affect the development of hypertension and whether lead-induced hypertension is a subtype of hypertension requiring calcium therapy.