de Capitani Eduardo Mello, Algranti Eduardo
Universidade Estadual de Campinas, Campinas, SP, Brasil.
J Bras Pneumol. 2006;32 Suppl 2:S54-9. doi: 10.1590/s1806-37132006000800010.
The most prevalent pneumoconioses are silicosis, asbestosis and coal worker's pneumoconiosis. Other pneumoconioses that have distinct clinical, functional and structural repercussions are caused by inhalation of metal powder in fumes from metals or organic salts. The distinction in terms of the chemical form of the inhaled compound is related to the tissue reaction and to the prognosis. Simple pneumoconiosis, siderosis, berylliosis and phosphate rock-related pneumoconiosis, as well as chronic obstructive pulmonary disease caused by exposure to heavy metals, are succinctly discussed. As an instrument of etiologic investigation of these pneumoconioses, the taking of occupational histories is essential.
最常见的尘肺病是矽肺、石棉肺和煤工尘肺。其他具有明显临床、功能和结构影响的尘肺病是由吸入金属烟雾或有机盐中的金属粉末引起的。吸入化合物化学形式的差异与组织反应和预后有关。本文简要讨论了单纯性尘肺病、铁末沉着病、铍中毒和磷灰石相关尘肺病,以及接触重金属引起的慢性阻塞性肺疾病。作为这些尘肺病病因调查的手段,职业史的采集至关重要。