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[铸造厂中接触矽尘与矽肺的动态变化]

[The dynamics of exposure to silicotic dusts and silicosis in a foundry].

作者信息

Constantin B, Mihalache C

机构信息

Disciplina Medicina Muncii, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 1999 Jan-Jun;103(1-2):120-3.

Abstract

This work presents the concentrations dynamics of dust in a cast iron foundry, in parallel with the frequency and gravity dynamics of the getting sick of silicosis. The knowing of the real risk of exposure to silicotic dust was possible through the data processing concerning the dusting degree (the average of working place), the content of silicon free-crystalline dioxide (SiO2 l.c.) for the calculation of the maximum admitted concentration (C.M.A.) and the dispersion degree of dust in a cast iron and steel foundry for the studied period (1982-1996). New cases of silicosis appeared in this period were studied and they were colligated with the age at declaration, the average length of service and the profession. The values of the dusting degree outrun the C.M.A. up to 168 times, especially at the preparation of mixture and grinding with a prevalence of particles under 3 micron (40-70%) and the Si02 l.c. content varies between 35.2% and 64.5%. From those 98 new cases of silicosis appeared in 15 years, 82.65% were traced out in the incipient phases of the disease. The average age in service and the average age increase (43.1 respective 19.8 years). The coefficients of correlation and regress (+0.286 respective +0.383) show a good correlation between the silicosis number and the age in service. The advanced stages of silicosis and age in service under 10 years were found at the foundry-workers and formators, occupations which imply a high silicotic risk. The foretelling calculations for the next 20 years show an increase of the silicosis incidence for foundry-workers.

摘要

这项工作呈现了铸铁铸造厂中粉尘的浓度动态,同时还呈现了矽肺病患病频率和严重程度的动态。通过对粉尘污染程度(工作场所平均值)、用于计算最大允许浓度(C.M.A.)的游离结晶二氧化硅(SiO₂ l.c.)含量以及所研究时期(1982 - 1996年)铸铁和钢铁铸造厂中粉尘的分散程度进行数据处理,得以了解接触矽尘的实际风险。对该时期出现的矽肺病新病例进行了研究,并将其与申报年龄、平均服务年限和职业进行了综合分析。粉尘污染程度的值超过最大允许浓度达168倍,尤其是在混合物制备和研磨过程中,小于3微米的颗粒占比很高(40 - 70%),且SiO₂ l.c.含量在35.2%至64.5%之间变化。在15年中出现的98例矽肺病新病例中,82.65%处于疾病初期。平均在职年龄和平均年龄增长分别为43.1岁和19.8岁。相关系数和回归系数(分别为 +0.286和 +0.383)表明矽肺病病例数与在职年龄之间存在良好的相关性。在铸造工人和造型工人中发现了矽肺病晚期病例以及服务年限不足10年的情况,这些职业意味着矽肺风险很高。对未来20年的预测计算表明,铸造工人的矽肺病发病率将会增加。

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