Crippa M, Apostoli P, Quarta C, Alessio L
Cattedra di Medicina del Lavoro, Università degli Studi di Brescia.
Med Lav. 1991 May-Jun;82(3):261-9.
A study was carried out in 3 copper alloy industries: a foundry for scrap of various origin producing brass and bronze alloys (foundry A) and 2 foundries that used these same alloys (foundries B and C). An environmental investigation and biological monitoring of the employees for Pb, ZPP, Cu, Zn, Be, Sb, Mn, Ni and Cr were performed in each foundry. The results of biological and environmental monitoring showed that the Pb exposure levels were distinctly higher than those of the other metals in all 3 foundries. The highest levels of PbA and PbB were observed in foundry A, especially during scrap grinding operations, where the limit values were exceeded. The environmental concentrations and the levels of the biological indicators for all other metals, except Pb, were within reasonable limits. Therefore, in the investigated working situations and for the metals under study, except Pb, it would appear that a situation exists of exposure to "microdoses" which, even though not implying a risk of appearance of the classic signs and symptoms of intoxication, raises the problem of the possibility of identifying early effects and interpreting the biological indicators. Biological monitoring of exposed subjects has shown that the levels of the indicators for Cu, Ni and Cr are markedly different from the reference values on a group basis, whereas in individual workers the values are generally below the "upper limits". A comparison with the "limit values'' was only possible for the biological indicators of Pb; for the others, although differences were observed indicating that absorption had taken place, no univocal interpretation criteria exist, considering also the relatively low mean increases observed.(ABSTRACT TRUNCATED AT 250 WORDS)
在3个铜合金行业开展了一项研究:一家生产黄铜和青铜合金的各类废金属铸造厂(铸造厂A)以及另外2家使用相同合金的铸造厂(铸造厂B和C)。对每家铸造厂的员工进行了铅、锌原卟啉、铜、锌、铍、锑、锰、镍和铬的环境调查及生物监测。生物和环境监测结果表明,在所有3家铸造厂中,铅的暴露水平明显高于其他金属。在铸造厂A观察到最高的铅A和铅B水平,尤其是在废金属研磨作业期间,超过了限值。除铅之外,所有其他金属的环境浓度和生物指标水平均在合理范围内。因此,在所调查的工作环境以及所研究的金属中,除铅之外,似乎存在“微剂量”暴露情况,尽管这并不意味着有出现中毒典型体征和症状的风险,但却引发了能否识别早期影响以及解释生物指标的问题。对暴露个体的生物监测表明,铜、镍和铬指标的水平在群体基础上与参考值有显著差异,而在个体工人中这些值通常低于“上限”。仅能将铅的生物指标与“限值”进行比较;对于其他指标,尽管观察到有差异表明发生了吸收,但考虑到观察到的平均增幅相对较低,不存在明确的解释标准。(摘要截取自250词)