Pirenne D, Mairiaux Ph
Département des Sciences de la Santé Publique, CHU de Liège.
Rev Med Liege. 2002 Dec;57(12):785-8.
Tiredness is a common complaint which may have multiple causes, sometimes difficult to ascertain. As occupational activities can play a major role in the incidence of various diseases, failure to investigate the patient's work history may hinder an adequate patient care. In the clinical case described hereafter, the patient symptoms could eventually be ascribed to a psycho-organic syndrome (POS) caused by the chronic exposure to organic solvents in the painting material used. This syndrome is non specific, evolves with time in an insidious manner, and, in its last stages, may cause non reversible brain damages. When facing non typical neurological symptoms in a working age adult, one has thus to consider the possibility of this diagnosis since the workers populations exposed to solvents are large in several occupations, and because the recent legal recognition in Belgium of this syndrome as an occupational disease does provide some interesting means for a better follow-up and protection of the patients concerned.
疲劳是一种常见的主诉，可能有多种原因，有时难以确定。由于职业活动在各种疾病的发生中可能起主要作用，不调查患者的工作史可能会妨碍对患者的充分护理。在以下所述的临床病例中，患者的症状最终可归因于因长期接触所用涂料中的有机溶剂而导致的精神器质性综合征（POS）。这种综合征不具有特异性，会随着时间以隐匿的方式发展，在其晚期可能会导致不可逆的脑损伤。因此，当面对处于工作年龄的成年人出现非典型神经症状时，必须考虑这种诊断的可能性，因为在多个职业中接触溶剂的工人群体数量众多，而且由于比利时最近将这种综合征认定为职业病，确实为更好地跟踪和保护相关患者提供了一些有趣的手段。
