Warshaw R, Fischbein A, Thornton J, Miller A, Selikoff I J
Ann N Y Acad Sci. 1979 May 31;320:277-83. doi: 10.1111/j.1749-6632.1979.tb56610.x.
Pulmonary function was evaluated in 243 workers exposed to PCB in the manufacture of capacitors. Mean employment was greater than 15 years. Thirty-four of the workers (14%) were found to have a reduced Forced Vital Capacity (FVC less than 80% of Morris' predicted). Of the 34 with reduced FVC, 27 (80%) demonstrated a restrictive pattern of impairment (FEV1/FVC greater than 0.7). Only one of these 27 workers had an abnormal chest roentgenogram (greater than or equal to 1/0 by ILO UC Classification of Radiographs of Pneumoconioses). These findings are of interest in view of recent experimental data indicating the accumulation of PCBs and PCB metabolites in lung tissue (Brandt and Jansson). Restrictive spirometric impairment with no radiographic change is unusual in occupational exposure.
对243名在电容器制造过程中接触多氯联苯的工人进行了肺功能评估。平均就业年限超过15年。其中34名工人(14%)的用力肺活量降低(FVC低于莫里斯预测值的80%)。在这34名FVC降低的工人中,27名(80%)表现出限制性损伤模式(FEV1/FVC大于0.7)。这27名工人中只有1人的胸部X光片异常(根据国际劳工组织尘肺病X光片分类,大于或等于1/0)。鉴于最近的实验数据表明多氯联苯及其代谢产物在肺组织中的积累(布兰特和扬松),这些发现很有意思。在职业暴露中,限制性肺量计损伤且无影像学改变的情况并不常见。