非职业性接触蛭石继发的胸膜肺实质疾病
Pleuroparenchymal lung disease secondary to nonoccupational exposure to vermiculite.
作者信息
Al-Ghimlas Fahad, Hoffstein Victor
机构信息
Department of Medicine, University of Toronto, St Michael's Hospital, Toronto, Ontario.
出版信息
Can Respir J. 2007 Apr;14(3):164-6. doi: 10.1155/2007/892610.
Abstract
An unusual case of pleuroparenchymal lung disease caused by the inhalation of vermiculite dust, presumably containing asbestos fibers is described. The uniqueness of the case lies in the very indirect nature of exposure -- the wife of a factory owner, rather than a worker exposed to asbestos, whose factory manufactured vermiculite. The present case illustrates the importance of taking careful occupational histories of all household members when presented with a patient whose chest radiograph exhibits features consistent with asbestos exposure.
摘要
本文描述了一例由吸入蛭石粉尘（可能含有石棉纤维）引起的胸膜肺实质疾病的罕见病例。该病例的独特之处在于接触途径非常间接——患者是一家工厂主的妻子，而非接触石棉的工人，其工厂生产蛭石。本病例说明了当面对一名胸部X光片显示有与石棉接触相符特征的患者时，详细询问所有家庭成员职业史的重要性。
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本文引用的文献
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Mortality in a cohort of vermiculite miners exposed to fibrous amphibole in Libby, Montana.蒙大拿州利比市接触纤维闪石的蛭石矿工队列中的死亡率。
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Fatal asbestosis 50 years after brief high intensity exposure in a vermiculite expansion plant.在一家蛭石膨胀厂短暂高强度接触石棉50年后发生的致命性石棉肺。
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Vermiculite: a review of the mineralogy and health effects of vermiculite exploitation.蛭石：蛭石开采的矿物学及健康影响综述
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The morbidity and mortality of vermiculite miners and millers exposed to tremolite-actinolite: Part II. Mortality.接触透闪石-阳起石的蛭石矿工和研磨工的发病率和死亡率：第二部分。死亡率。
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Health effects of tremolite. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors, June 1990.透闪石对健康的影响。本美国胸科学会官方声明于1990年6月由该学会董事会通过。
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