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樱岛火山喷发对人类肺部有影响吗?——组织病理学调查及肺内颗粒物沉积量测量

Is there any effect of volcanic eruptions of Mount Sakurajima on human lungs?--histopathological investigation and measurement of intrapulmonary particulate deposits amounts.

作者信息

Kariya M

机构信息

Second Department of Pathology, Faculty of Medicine, Kagoshima University, Japan.

出版信息

Tohoku J Exp Med. 1992 Mar;166(3):331-43. doi: 10.1620/tjem.166.331.

Abstract

In order to investigate effects of volcanic eruptions of Mt. Sakurajima on human lungs, an amount of intrapulmonary particulate deposits (IPD) and histopathological changes were evaluated, using autopsied lungs of deceased residents of Kagoshima (the area affected most by the volcanic eruptions of Mt. Sakurajima, n = 66) in comparison with those of Saitama (n = 73). The amount of IPD was measured by macroscopic image analysis and by alkaline extraction. Correlation was seen in the IPD values obtained by these two methods (Spearman's correlation coefficient: 0.525). The IPD value measured through chemical digestion, which increased with age, was lower in the residents of Kagoshima (17.0 +/- 6.3 mg/g) than in those of Saitama (26.8 +/- 10.6 mg/g). This difference of IPD value between Kagoshima and Saitama residents was also observed in male, female, smoker and nonsmoker subgroups. The incidence of pulmonary emphysema was not different between Kagoshima and Saitama cases. No silicotic nodules were observed in any cases. But, the incidence of bronchial goblet cell hyperplasia and squamous metaplasia in Kagoshima was higher than that in Saitama in male cases and smoker cases. In Kagoshima cases, the incidence of squamous metaplasia was significantly higher in smokers than in nonsmokers. The synergistic influence of volcanic eruptions and cigarette smoking on human airways was suggested.

摘要

为了研究樱岛火山喷发对人类肺部的影响,通过对鹿儿岛(受樱岛火山喷发影响最大的地区,n = 66)已故居民的尸检肺与埼玉(n = 73)居民的尸检肺进行比较,评估了肺内颗粒物沉积量(IPD)和组织病理学变化。通过宏观图像分析和碱性提取法测量IPD量。这两种方法获得的IPD值之间存在相关性(斯皮尔曼相关系数:0.525)。通过化学消化测量的IPD值随年龄增加,鹿儿岛居民(17.0 +/- 6.3 mg/g)低于埼玉居民(26.8 +/- 10.6 mg/g)。在男性、女性、吸烟者和非吸烟者亚组中也观察到鹿儿岛和埼玉居民之间IPD值的这种差异。鹿儿岛和埼玉病例的肺气肿发生率没有差异。在任何病例中均未观察到矽结节。但是,在男性病例和吸烟者病例中,鹿儿岛的支气管杯状细胞增生和鳞状化生的发生率高于埼玉。在鹿儿岛病例中,吸烟者的鳞状化生发生率明显高于非吸烟者。提示了火山喷发和吸烟对人类气道的协同影响。

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