Pelmear P L, Taylor W
Health and Safety Support Branch, Ministry of Labour, Toronto, Ontario, Canada.
J Occup Med. 1991 Nov;33(11):1144-9. doi: 10.1097/00043764-199111000-00010.
Increasing recognition by workers that blanching of their fingers may be due to hand-arm vibration exposure from the tools they use at work and their consequent claims for compensation emphasize a need for better clinical evaluation and prevention. We describe the symptoms and signs, and enumerate the diagnostic procedures (both screening and laboratory) necessary to establish the diagnosis and severity grading of subjects with hand-arm vibration syndrome. Although effective treatment of the condition other than avoidance of further vibration exposure is still being researched, prevention is all important. The necessary steps are identified.
工人们越来越认识到手指变白可能是由于他们在工作中使用的工具所产生的手臂振动暴露所致，他们因此提出的赔偿要求强调了更好的临床评估和预防的必要性。我们描述了症状和体征，并列举了对患有手臂振动综合征的受试者进行诊断和严重程度分级所需的诊断程序（包括筛查和实验室检查）。尽管除了避免进一步的振动暴露之外，针对该病症的有效治疗仍在研究中，但预防至关重要。文中确定了必要的步骤。
