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The Tuotuohe region is a highly prospective area for Pb and Zn mineral exploration. This paper contributes to our comprehension of the ore-controlling structures, fluid inclusions, and C–H–O–S–Pb isotope geochemistry of Pb–Zn deposits in this region. These deposits are generally hosted by carbonates and controlled by fractures. The principal homogenization temperatures of quart- and calcite-hosted inclusions ranged predominantly between 120 and 220 °C, with salinities varying from 6 to 16 wt.% NaCl equivalent. The Pb isotope compositions of the ore deposits are comparable to those of Cenozoic volcanic rocks in the region but differ significantly from those of the host rocks, indicating that the Pb within these deposits was derived from the mantle. The C, O, and S isotope compositions of samples exhibit a bimodal distribution based on whether they were derived from magma or host rocks, implying that magma-derived fluids underwent an isotopic exchange with the host rocks. The H-O isotope compositions of samples also indicate that ore-forming fluids were originally magmatic but were depleted by combining with meteoric water. These findings are also supported by variations in fluid inclusion homogenization temperatures and salinities. Taken together, these findings suggest that the Pb–Zn deposits of the Tuotuohe region developed from magma to hydrothermal fluids at medium–low temperatures.

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