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年轻成年哮喘患者吸入氯化氢后的呼吸影响。

Respiratory effects from the inhalation of hydrogen chloride in young adult asthmatics.

作者信息

Stevens B, Koenig J Q, Rebolledo V, Hanley Q S, Covert D S

机构信息

Department of Environmental Health, University of Washington, Seattle 98195.

出版信息

J Occup Med. 1992 Sep;34(9):923-9.

PMID:1447599
Abstract

Almost no human data exist from controlled studies using low levels of hydrogen chloride (HCl), and, with no existing HCl ambient standards in the United States, the need for human health effects research is evident. In this study, five female and five male 18 to 25-year-old asthmatic subjects were exposed to filtered air, 0.8 ppm and 1.8 ppm HCl while wearing half-face masks, during three separate 45-minute experimental sessions involving 15 minutes exercise (treadmill walking), 15 minutes rest, followed again by exercise. Baseline and postexposure pulmonary function measurements were taken including forced expiratory volume in 1 second (FEV1), forced expiratory volume (FVC), maximal flow at 50% of expired vital capacity (Vmax50), maximal flow at 75% of expired vital capacity (Vmax75), and total respiratory resistance as well as peak flow. Nasal work of breathing and oral ammonia levels also were measured preexposure and postexposure. No significant pulmonary effects were found at these HCl concentrations and exposure duration. Nasal power showed no significant differences between test atmospheres; however, in isolation a significant decrease (P less than .01) was found in measurements of inspiration with exposure to 0.80 ppm. Ammonia levels showed a significant rise postexposure after both concentrations of HCl (paired t test, (P less than .01)), not seen after air exposure. In summary, the asthmatic subjects in this study showed no adverse respiratory health effects of inhalation of low concentrations of HCl.

摘要

几乎没有来自使用低水平氯化氢(HCl)的对照研究的人体数据,而且由于美国没有现有的HCl环境标准,对人体健康影响研究的需求显而易见。在本研究中,10名年龄在18至25岁之间的哮喘受试者(5名女性和5名男性)在佩戴半面罩的情况下,在三个单独的45分钟实验时段内分别暴露于过滤空气、0.8 ppm和1.8 ppm的HCl中,每个时段包括15分钟运动(在跑步机上行走)、15分钟休息,然后再次进行运动。在暴露前后进行肺功能测量,包括1秒用力呼气量(FEV1)、用力呼气量(FVC)、呼出肺活量50%时的最大流速(Vmax50)、呼出肺活量75%时的最大流速(Vmax75)、总呼吸阻力以及峰值流速。还在暴露前后测量了鼻腔呼吸功和口腔氨水平。在这些HCl浓度和暴露持续时间下未发现明显的肺部影响。鼻腔功率在不同测试环境之间未显示出显著差异;然而,单独来看,在暴露于0.80 ppm时吸气测量值出现了显著下降(P小于0.01)。两种浓度的HCl暴露后氨水平均显著升高(配对t检验,P小于0.01),而空气暴露后未出现这种情况。总之,本研究中的哮喘受试者吸入低浓度HCl未显示出对呼吸健康的不良影响。

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