Idec-Sadkowska Iwona, Andrzejak Ryszard, Antonowicz-Juchniewicz Jolanta, Kaczmarek-Wdowiak Beata
Z Katedry i Kliniki Chorób Wewnetrznych, Zawodowych i Nadciśnienia Tetniczego Akademii Medycznej we Wrocławiu.
Med Pr. 2006;57(3):271-80.
Silica-induced lung injury and the development of silicosis is one of the major occupational diseases. Accumulation and deposition of respirable dust containing silica mineral particles in the lung produces chronic lung disease characterized by granulomatous and fibrotic lesions. Knowledge of precise mechanisms, which induce this process is still limited, hence problems faced in the treatment of silicosis, especially the casual one. This article describes various trials of casual silicosis treatment with tetrandrine (Tet), isolated from the root of Stephania tetrandra, tumor necrosis factor (TNF) antagonists, polyvinyl-pyridine-N-oxide (PVNO), aluminum compounds, corticosteroids or bronchoalveolar lavage (BAL). The existing methods are not sufficient, which warrants further investigations. At present, prevention of the disease and treatment of its complications are most important.
二氧化硅所致肺损伤及矽肺的发生是主要的职业病之一。含有硅矿物颗粒的可吸入粉尘在肺内的蓄积和沉积会导致以肉芽肿和纤维化病变为特征的慢性肺部疾病。对于引发这一过程的确切机制的了解仍然有限,因此在矽肺治疗中面临诸多问题,尤其是对于病因性矽肺。本文介绍了用从粉防己根中分离出的粉防己碱(Tet)、肿瘤坏死因子(TNF)拮抗剂、聚乙烯吡啶-N-氧化物(PVNO)、铝化合物、皮质类固醇或支气管肺泡灌洗(BAL)治疗病因性矽肺的各种试验。现有的方法并不充分,这就需要进一步研究。目前,疾病的预防及其并发症的治疗最为重要。