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A case of cadmium poisoning manifested by “abdominal pain and palpitations” and literature review |
KE Jia ZHENG Gengdong CHEN Junxiu CHEN Kaida HUANG Haibin |
Department of Emergency, the Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510000, China
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Abstract Cadmium poisoning is a rare heavy metal poisoning. Acute oral cadmium poisoning has the characteristics of acute disease, rapid progress, and difficult identification. This article introduces a patient with “abdominal pain and palpitations” as the first manifestation in the Third Affiliated Hospital of Guangzhou University of Chinese Medicine. The patient rapidly progressed to respiratory failure, liver and kidney failure after onset, and was found to have acute cadmium poisoning through blood cadmium examination. There is no specific antidote for cadmium poisoning, so the main treatment is to maintain organ function and life support. The patient’s multi-organ function continued to deteriorate and eventually died. Combined with the problems in treatment, the authors of this paper reviews the relevant literature, summarizes the characteristics of cadmium poisoning, and proposes that when the diagnosis of liver and kidney function damage is not clear, possible poisoning should be considered in time, and blood and urine toxicology tests should be carried out in time to help diagnose.
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