Lander F, Kristiansen J, Lauritsen J M
Danish Work Environment Service, Landskronagade 33, DK 2100 Copenhagen, Denmark.
Int Arch Occup Environ Health. 1999 Nov;72(8):546-50. doi: 10.1007/s004200050414.
Cast iron products are alloyed with small quantities of manganese, and foundry furnacemen are potentially exposed to manganese during tapping and handling of smelts. Manganese is a neurotoxic substance that accumulates in the central nervous system, where it may cause a neurological disorder that bears many similarities to Parkinson's disease. The aim of the study was to investigate the sources and levels of manganese exposure in foundry furnacemen by a combined measuring of blood-manganese (B-Mn) and manganese in ambient air (air-Mn).
During a period of 16 months, Air-Mn and B-Mn (denoted 'exposure values') were measured involving 24 furnacemen employed in three small size foundries and 21 scrap recycling workers from one plant. In the study period, 18 furnacemen had B-Mn measured 3-4 weeks after decreasing or stopping exposure (denoted 'post-exposure values'). The reference group for the B-Mn measurements consisted of 90 Danish male subjects.
Furnacemen who work in insufficiently ventilated smelting departments inhale, absorb, and retain significant amounts of manganese in their blood (approx. 2.5-5 microg/l above reference values) despite a generally low measured airborne level of manganese fumes (0.002-0.064 mg/m(3)). The 'exposure values' compared with 'post-exposure values' revealed a significant decrease in the B-Mn (on average 3.7 microg/l) level of the most exposed furnacemen. Two persons in our study were suspected of suffering clinically subacute manganese intoxication as both had B-Mn levels beyond the normal limit (25 and 29 microg/l, respectively). The potential problem disappeared completely after cessation of exposure, and the B-Mn levels decreased to 9.4 and 14.1 microg/l, respectively.
Risk assessment based on combined measurements of B-Mn and air-Mn seems to be valid in the interpretation of workers' hazard. Our study indicates that B-Mn may be a valuable parameter for estimating recent exposure (within 1-2 weeks). However, more knowledge is needed about the B-Mn level and its relation to neurological symptoms.
铸铁产品与少量锰合金化,铸造炉工在出钢和处理熔液过程中可能接触到锰。锰是一种神经毒性物质,会在中枢神经系统中蓄积,可能导致一种与帕金森病有许多相似之处的神经疾病。本研究的目的是通过联合测量血锰(B-Mn)和环境空气中的锰(空气-Mn)来调查铸造炉工锰暴露的来源和水平。
在16个月的时间里,对3家小型铸造厂的24名炉工和1家工厂的21名废料回收工人进行了空气-Mn和B-Mn(称为“暴露值”)测量。在研究期间,18名炉工在减少或停止暴露3-4周后进行了B-Mn测量(称为“暴露后值”)。B-Mn测量的参考组由90名丹麦男性受试者组成。
尽管锰烟的空气中测量水平普遍较低(0.002-0.064毫克/立方米),但在通风不足的熔炼部门工作的炉工在血液中吸入、吸收并保留了大量的锰(比参考值高约2.5-5微克/升)。“暴露值”与“暴露后值”相比,显示出暴露最严重的炉工的B-Mn水平显著下降(平均3.7微克/升)。我们研究中的两名人员被怀疑患有临床亚急性锰中毒,因为他们的B-Mn水平均超过正常限值(分别为25和29微克/升)。停止暴露后,潜在问题完全消失,B-Mn水平分别降至9.4和14.1微克/升。
基于B-Mn和空气-Mn联合测量的风险评估似乎在解释工人的危害方面是有效的。我们的研究表明,B-Mn可能是估计近期暴露(1-2周内)的一个有价值的参数。然而,关于B-Mn水平及其与神经症状的关系,还需要更多的了解。