Suruda Anthony, Milliken William, Stephenson Dale, Sesek Richard
Rocky Mountain Center for Occupational and Environmental Health, University of Utah, Salt Lake City, UT, USA.
Appl Occup Environ Hyg. 2003 Apr;18(4):289-92. doi: 10.1080/10473220301405.
There is little published information concerning the epidemiology of fatal injuries involving respiratory protection. We compiled a case series from U.S. Occupational Safety and Health Administration investigation reports from 1984 through 1995. For the 12-year period there were 41 incidents resulting in 45 deaths due to asphyxiation or chemical poisoning while wearing a respirator. There were 23 deaths related to airline respirators, 17 deaths involving use of negative pressure (air purifying) respirators, and 5 deaths involving self-contained breathing apparatus. Among the 23 deaths involving airline respirators, 15 were associated with compatible connection couplings for breathable air and inert gases. Three workers with beards died who wore tight-fitting respirators in an atmosphere that was immediately dangerous to life and health. Most of the fatalities involved regulatory and procedural violations, and would have been prevented by proper training and compliance with existing regulations. The information concerning the victims was limited but it did not appear that medical screening would have prevented any of the deaths.
关于涉及呼吸防护的致命伤害的流行病学,公开信息很少。我们从美国职业安全与健康管理局1984年至1995年的调查报告中汇编了一个病例系列。在这12年期间,有41起事件导致45人在佩戴呼吸器时因窒息或化学中毒死亡。其中23例死亡与航空呼吸器有关,17例死亡涉及使用负压(空气净化)呼吸器,5例死亡涉及自给式呼吸器。在23例与航空呼吸器有关的死亡中,15例与可呼吸空气和惰性气体的兼容连接接头有关。三名留胡须的工人在对生命和健康立即构成危险的环境中佩戴紧身呼吸器后死亡。大多数死亡事故涉及违反法规和程序的行为,通过适当培训和遵守现有法规本可预防。关于受害者的信息有限,但似乎医学筛查无法预防任何一起死亡事故。