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March 26, 1949


JAMA. 1949;139(13):823-825. doi:10.1001/jama.1949.02900300009003

The method of treating the acute phase of lead intoxication has been well established and its rational universally accepted. However, the type of treatment that should be instituted after the subsidence of the acute symptoms is a controversial issue. While the approved treatment of the acute stage will be reviewed, this paper will deal primarily with the theories versus practicability of storing and deleading.

It would seem obvious that the entire therapeutic regimen should be directed toward (1) overcoming the intestinal colic, (2) correcting the anemia, (3) making the patient symptom free with no disability and (4) returning the patient to a remunerative job as soon as possible.

The following procedures are prescribed for the acute stage:

  1. Hospitalization or ambulatory, depending on symptoms

  2. f hospitalized, bed rest or ambulatory, depending on colic

  3. High calcium diet

  4. Warm water bag or electric pad for abdominal discomfort

  5. One

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