Qiu Chuang-yi, Zhang Dong-hui, Chen Jian-xiong, Li Huan-ying, Li Wen-yong, Li Wei-jun, Zhang Ying
Guangdong Prevention and Treatment Center for Occupational Diseases, Guangzhou 510300, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2009 Apr;27(4):215-7.
To investigate the incidence of welder's pneumoconiosis in container manufacturing industries in Guangdong province and present some preventive and curative strategy.
Occupational epidemiology study methods were used to study the incidence of welder's pneumoconiosis in two container manufacturing enterprises (enterprise A and enterprise B).
Before 2004, the rate of up-to-standard of weld fume concentration in the workplaces was relatively low (< or = 40%), and the maximum value of time weighted average (TWA) was 26.7 mg/m(3). After 2004, with the system of dust control, the rate of up-to-standard was 85% in the enterprise A. Of the 813 weld workers examined, 19 were diagnosed as welder's pneumoconiosis (stage I was 15, while I (+) was 4 ) and the incidence was 2.34% (19/813). The age of electric welders suffering from welder's pneumoconiosis and the duration of dust exposure were (33.45 + 4.64) and (8.04 + 1.97) years respectively. Chest radiographic examination showed mainly small round opacities "p". The value of MVV, FEF25%, FEF50% and FEF75% in lung function tests were significantly lower than those of the control group (P < 0.05 or P < 0.01).
The main features of welder's pneumoconiosis in container manufacturing industries are the short duration of dust exposure, and small round opacities "p" in the chest radiographs. Therefore, it should be the key point of the prevention and treatment of occupational diseases in this industry to control the harmful weld fume.
调查广东省集装箱制造业电焊工尘肺的发病情况,并提出防治对策。
采用职业流行病学研究方法,对两家集装箱制造企业(企业A和企业B)电焊工尘肺发病情况进行研究。
2004年前作业场所焊接烟尘浓度达标率较低(≤40%),时间加权平均浓度(TWA)最大值为26.7mg/m³。2004年后,随着防尘措施的落实,企业A达标率为85%。在受检的813名电焊工中,确诊电焊工尘肺19例(壹期15例,壹期+),发病率为2.34%(19/813)。患尘肺电焊工发病年龄和接尘工龄分别为(33.45±4.64)岁和(8.04±1.97)年。胸部X线表现以“p”型小阴影为主。肺功能MVV、FEF25%、FEF50%、FEF75%测定值均显著低于对照组(P<0.05或P<0.01)。
集装箱制造业电焊工尘肺的主要特点是接尘工龄短,胸部X线表现以“p”型小阴影为主。因此,控制焊接烟尘危害应作为该行业职业病防治工作的重点。