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菜类所致高铁血红蛋白血症属于中毒性高铁血红蛋白血症的一种,在国内文献中少见报导。1957年王氏报告了肠原性青紫症14例。同年乐氏等相继报告了变性血红蛋白血症患者12例。杨氏等报导5例高铁血红蛋白血症中,有3例系由于中毒性所致。1959年胡氏报告之12例中,有6例记载与饮食有关。我们自1960年1—12月,曾遇见95例菜类所致高铁血红蛋白血症患者,在此作一报导。一般资料 1.年龄与性别:本组发病年龄最幼者为2岁,最长者系72岁。11—20岁之间者居最多,共35例(占36.8％),其次为6—10岁者,共18例(占18.9％)。年龄在20岁以下者占总数之62.1％。王氏病例,发病年龄最多见于2 1/2—8岁之儿童(85.7％),胡氏报告之10例患者2—4岁占83.3％,杨氏组皆在20岁以上发病。性别方面,另性50例,女性45例,两性差别大致相等。一般认为女性多见于男性。(表一)
Methemoglobinemia caused by vegetables is a type of toxic methemoglobinemia, a rare case in the domestic literature. In 1957 Wang reported 14 cases of enterocolitis. The same year, Le’s have reported 12 cases of patients with degeneration of hemoglobinemia. Yang et al reported 5 cases methemoglobinemia, 3 cases due to toxicity. Among the 12 cases reported by Hu’s in 1959, 6 cases were related to diet. From January to December 1960, we met 95 patients with methemoglobinemia caused by vegetables, in a report here. General information 1. Age and gender: The youngest age of onset of this group is 2 years old, the oldest is 72 years old. Among the 11-20 year-olds, the most were residents, 35 (36.8%), followed by 6-10 (18.9%). 62.1% of those under 20 years of age. In the case of Wang, the age of onset was most common in children aged 21--28 years (85.7%), while in the group of 10 cases reported by Hu, 2-4 years old accounted for 83.3%. Young patients were all above 20 years of age. Sex, the other 50 cases, 45 females, gender differences is roughly equal. It is generally believed that women are more common in men. (Table I)