[Determination of serum lead levels following shotgun injury].
Lead concentration of pellets is over 95%. Four patients who had sustained shotgun injury with retained shotgun bullets in the body are described. In 3 of 4 patients the blood level of lead was increased, as well as the concentration of Delta-ALA in the urine. In all four patients symptoms due to lead intoxication were absent. Usually the surgical goal is limited to a proper debridement of large wounds in the soft tissue. Therefore it is mandatory to assess the lead level in the blood and the concentration of Delta-ALA in the urine. Thus asymptomatic lead intoxication can be recognized and treated.
Platz
A
A
Departement Chirurgie, Universitätsspital Zürich.
Simmen
H P
HP
Heinzelmann
M
M
Trentz
O
O
D000328:Adult; D000622:Aminolevulinic Acid / Q000652:urine; D005547:Foreign Bodies / Q000097:blood*; D006801:Humans; D007854:Lead / Q000097:blood*; D007855:Lead Poisoning / Q000097:blood / Q000209:etiology; D008297:Male; D014948:Wounds, Gunshot / Q000097:blood*
D007854:Lead; D000622:Aminolevulinic Acid
Bleibestimmung im Serum nach Schrotschussverletzung.