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电烙手术烟雾中的多环芳烃在腹膜切除术过程中。

Polycyclic aromatic hydrocarbons in electrocautery smoke during peritonectomy procedures.

机构信息

Department of Surgical Sciences, Uppsala University Hospital, 751 85 Uppsala, Sweden.

出版信息

J Environ Public Health. 2012;2012:929053. doi: 10.1155/2012/929053. Epub 2012 May 22.

DOI:10.1155/2012/929053
PMID:22685482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3364671/
Abstract

OBJECTIVE

This study identified and quantified polycyclic aromatic hydrocarbons (PAHs) in electrocautery smoke during 40 peritonectomy procedures and investigated any correlations and/or differences between levels of PAHs and perioperative variables.

METHODS

PAHs were measured in personal and stationary sampling by 40 mm Millipore cassettes, for adsorption of both gaseous and particle-bound PAHs. Results. All 16 USEPA priority pollutant PAHs were detected during peritonectomy procedures, naphthalene being the most abundant. For the only two PAHs with Swedish occupational exposure limits (OELs), benzo[a]pyrene and naphthalene, limits were never exceeded. Amount of bleeding was the only perioperative variable that correlated with levels of PAHs.

CONCLUSIONS

Low levels of PAHs were detected in electrocautery smoke during peritonectomy procedures, and an increased amount of bleeding correlated with higher levels of PAHs. For evaluation of long-term health effects, more studies are needed.

摘要

目的

本研究在 40 例腹膜切除术期间鉴定和量化了电烙烟雾中的多环芳烃(PAHs),并调查了 PAHs 水平与围手术期变量之间的任何相关性和/或差异。

方法

通过 40mm Millipore 盒对个人和固定采样进行 PAHs 测量,以吸附气态和颗粒结合的 PAHs。结果。在腹膜切除术期间检测到所有 16 种美国环保署优先污染物 PAHs,其中萘含量最高。对于仅有的两种具有瑞典职业暴露限值(OEL)的 PAHs(苯并[a]芘和萘),从未超过限值。出血量是唯一与 PAHs 水平相关的围手术期变量。

结论

在腹膜切除术期间电烙烟雾中检测到低水平的 PAHs,出血量增加与 PAHs 水平升高相关。为了评估长期健康影响,需要进行更多的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4552/3364671/06a32cc1ee55/JEPH2012-929053.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4552/3364671/06a32cc1ee55/JEPH2012-929053.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4552/3364671/06a32cc1ee55/JEPH2012-929053.001.jpg

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