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印度芒格洛尔铅作业工人的临床表现。

Clinical manifestations of lead workers of Mangalore, India.

作者信息

Kuruvilla Ajee, Pillay V V, Adhikari Prabha, Venkatesh T, Chakrapani M, Rao H T Jayaprakash, Bastia Binaya K, Rajeev A, Saralaya K M, Rai Maneesh

机构信息

Department of Forensic Medicine, Kasturba Medical College, Mangalore, India.

出版信息

Toxicol Ind Health. 2006 Oct;22(9):405-13. doi: 10.1177/0748233706074174.

DOI:10.1177/0748233706074174
PMID:17533812
Abstract

OBJECTIVE

To correlate blood lead levels and clinical manifestations.

PARTICIPANTS

Battery workers and painters (occupationally exposed to lead in and around Mangalore, India) and occupationally unexposed controls.

MAIN OUTCOME MEASURES

We measured the blood lead levels by anodic stripping voltammetry, and a clinical examination was carried out on all participants.

RESULTS

There was a statistically significant difference between the lead-exposed group and controls with respect to clinical manifestations. The prominent findings among the lead-exposed group were fatigue, abdominal colic, abdominal discomfort, backache, muscular exhaustability, myalgia and paresthesia, at a blood lead level ranging from 0.4 to 116.6 microg/dL.

CONCLUSIONS

Such a study on battery workers and painters has not been reported in India. Several attempts have been made over the years to relate blood lead levels to adverse health effects. It was not possible to determine a precise blood lead level below which symptoms never occur or a blood lead level at which symptoms are always reported.

摘要

目的

关联血铅水平与临床表现。

参与者

电池工人和油漆工(在印度芒格洛尔及其周边地区职业性接触铅)以及职业未接触铅的对照组。

主要观察指标

我们采用阳极溶出伏安法测量血铅水平,并对所有参与者进行临床检查。

结果

在临床表现方面,铅接触组与对照组之间存在统计学上的显著差异。在血铅水平为0.4至116.6微克/分升的铅接触组中,突出的表现为疲劳、腹部绞痛、腹部不适、背痛、肌肉易疲劳、肌痛和感觉异常。

结论

印度尚未报道过此类针对电池工人和油漆工的研究。多年来已进行了多项尝试,以关联血铅水平与不良健康影响。无法确定一个精确的血铅水平,低于该水平症状从不出现,也无法确定一个总会报告症状的血铅水平。

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