Pranjić Nurka, Mujagić H, Pavlović S
Katedra za medicinu rada, Medicinski fakultet Univerziteta u Tuzli, Tuzla, Bosna and Hercegovina.
Med Arh. 2003;57(1):17-20.
The aim of this study was to made assessment of chronic health effects in 37 workers exposed to gasoline, and its constituents at gasoline stations between 1985 and 1996. By the study we have involved thirty-seven persons who had been exposed to gasoline for more than five years were examined. The evaluation included a medical/occupational history, hematological and biochemical examination, a physical exam, standardized psychological tests, and ultrasound examination of kidneys and liver. The groups were identical in other common parameters including age, gender (all men), and level of education (P < 0.05). The data were compared to two control groups: 61 gasoline unexposed controls and 25 workers at gasoline stations exposed to organic lead for only nine months. Peripheral smear revealed basophilic punctuated eritrocytes and reticulocytosis. We found in chronic exposed gasoline workers haematological disorders: mild leukocytosis (7 of 37), lymphocytosis (20 of 37), mild lymhocytopenia (3 of 37), decrease of red blood cells count (11 of 37). Results indicated that they have suffered from liver disorders: lipoid degeneration of liver (14 of 37), chronic functional damages of liver (3 of 37), cirrhosis (1 of 37). Ultrasound examination indicated chronic kidney damages (8 of 37). These results significantly differed from those of controls (P < 0.05). In 13 out of 37 workers at gasoline stations exposed to gasoline for more than 5 years the symptom of depression and decreased reaction time and motor abilities were identified. The summary of diseases of workers exposed to organic lead and gasoline are discussed.
本研究的目的是评估1985年至1996年间在加油站接触汽油及其成分的37名工人的慢性健康影响。通过该研究,我们对37名接触汽油超过五年的人员进行了检查。评估包括医学/职业史、血液学和生化检查、体格检查、标准化心理测试以及肾脏和肝脏的超声检查。这些组在年龄、性别(均为男性)和教育水平等其他常见参数方面相同(P<0.05)。将数据与两个对照组进行比较:61名未接触汽油的对照组和25名仅接触有机铅九个月的加油站工人。外周血涂片显示嗜碱性点彩红细胞和网织红细胞增多。我们发现长期接触汽油的工人存在血液学紊乱:轻度白细胞增多(37例中有7例)、淋巴细胞增多(37例中有20例)、轻度淋巴细胞减少(37例中有3例)、红细胞计数下降(37例中有11例)。结果表明他们患有肝脏疾病:肝脏类脂质变性(37例中有14例)、肝脏慢性功能损害(37例中有3例)、肝硬化(37例中有1例)。超声检查显示慢性肾脏损害(37例中有8例)。这些结果与对照组的结果有显著差异(P<0.05)。在37名接触汽油超过5年的加油站工人中,有13人出现抑郁症状、反应时间和运动能力下降。讨论了接触有机铅和汽油的工人的疾病总结。