89.
Reinl W. Modern therapy of lead intoxication. Regensburger Jahrbuch fur Hrztliche Fortbildung. 1959/60; 8:(8 pp). (2184) The author points to the fact that in Germany there have been but few reports of Pb poisoning from causes other than occupational, in contrast to other countries. He reviews the incidence of Pb poisoning in Nordrhein from 1926-58, exposure of such victims from 1945-58, as published by him and Goertz, the frequency of symptoms, erythrocyte counts, etc. The discussion of treatment of Pb poisoning is summarized as follows: Injection of CaEDTA at 1.2 g (in 10 ml)/day for 2-3 days, possibly every other day, followed by 2-3 wk treatment with orally administered doses of 1 g 3 times/day. If side effects appear, parenteral administration should be discontinued. Treatment of Pb colic is by use of modern spasmolytics and application of moist heat. Treatment of constipation is important. Generally anemia regresses under general treatment. Where pronounced anemia is present, treatment with liver preparations and vitamin B6 and 12 is appropriate. Residue-rich and Ca-rich diet is recommendable. The same treatment is recommended for the neuritic patients, in encephalopathy, sedatives and at times lumbar puncture must be considered.
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