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[吸入颗粒物的健康意义]

[Health significance of inhaled particles].

作者信息

Gillissen A, Gessner C, Hammerschmidt S, Hoheisel G, Wirtz H

机构信息

Robert Koch-Klinik, Klinikum "St. Georg", Leipzig.

出版信息

Dtsch Med Wochenschr. 2006 Mar 24;131(12):639-44. doi: 10.1055/s-2006-933709.

Abstract

Particulates refer to particles, dust, dirt, soot and aerosol mists that has suspended in the surrounding air. They may consist of solids of various forms including fibres or liquids. Long term exposure to silicon dioxide containing dusts (crystalline silica: quartz, tridymite, cristobalite, coesite, stishovite) may cause pneumoconiosis in the form of acute or/either chronic silicosis. Asbestos refers to a divers family of crystalline hydrated fibrous siliates typically exhibiting a greater tha 3:1 length ot diameter ratio. It is subdivided into serpentine (Chrysotile) and amphibole (crocidolite, amosite, anthophyllite, tremolite, actinolite). Exposure to asbestos fibres may cause lung fibrosis and promote cancer of the lung or the pleura. Besides the induction of malignant diseases dust exposure may result in obstructive as well as restrictive lung diseases which may be compensate in case of the recognition as a occupational diseases. Other occupational exposures leading to pneumoconiosis are caused be talc, or metals including aluminium containing dusts. Also the group of man-made mineral (MMMFs) or vitreous fibres (MMVFs), including glass wool, rock wool, slag wool, glass filaments, microfibres, refractory ceramic fibres are bioactive under certain experimental conditions. Although it has been shown that MMMFs may cause malignancies when injected intraperitoneally in high quantities in rodents, inhalation trials and human studies could not reproduce these results in the same precision. Fine particles (particulate matter = PM) comprise one of the most widespread and harmful air pollutants in the industrialized world. PM may cause worsening of asthma and other respiratory diseases, reduce lung function development in children, potentially increased the risk of premature death in the elderly and enhance mortality from cardiac diseases. Because of the small size PM2.5 is seen to be even more hazardous than PM10.

摘要

颗粒物是指悬浮在周围空气中的颗粒、灰尘、污垢、烟尘和气溶胶雾滴。它们可能由包括纤维或液体在内的各种形式的固体组成。长期接触含二氧化硅粉尘(结晶二氧化硅:石英、鳞石英、方石英、柯石英、斯石英)可能导致以急性或慢性矽肺形式出现的尘肺病。石棉是指一类多样化的结晶水合纤维状硅酸盐,通常其长度与直径之比大于3:1。它可细分为蛇纹石(温石棉)和闪石(青石棉、铁石棉、直闪石、透闪石、阳起石)。接触石棉纤维可能导致肺纤维化,并增加患肺癌或胸膜癌的风险。除了诱发恶性疾病外,接触粉尘还可能导致阻塞性和限制性肺病,如果被认定为职业病,这些疾病可能会得到补偿。其他导致尘肺病的职业接触是由滑石或包括含铝粉尘在内的金属引起的。此外,人造矿物纤维(MMMFs)或玻璃质纤维(MMVFs)组,包括玻璃棉、岩棉、矿渣棉、玻璃丝、微纤维、耐火陶瓷纤维,在某些实验条件下具有生物活性。尽管已经表明,在啮齿动物中大量腹腔注射MMMFs可能会导致恶性肿瘤,但吸入试验和人体研究无法以同样的精度重现这些结果。细颗粒物(颗粒物=PM)是工业化世界中分布最广、危害最大的空气污染物之一。PM可能会使哮喘和其他呼吸系统疾病恶化,降低儿童的肺功能发育,可能增加老年人过早死亡的风险,并提高心脏病死亡率。由于PM2.5粒径小,被认为比PM10危害更大。

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