Foà Vito, Martinotti Irene
Centro di Riferimento PPTP Clinica del Lavoro Luigi Devoto, e Fondazione (I.R.C.C.S.) Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena e Università degli Studi, Milano, Italy.
G Ital Med Lav Ergon. 2012 Jan-Mar;34(1):16-8.
Exposure to organic solvents in footwear manufacturing industry came from the glues used adhering the shoe parts to each other. Benzene was the first solvent used in shoe factories until the evidence of its capacity to cause leukaemia. Then, the demonstration that exposure to n-hexane was related to distal polyneuropathy limited the use of this substance. After that, results of neurotoxicological studies conducted on workers exposed to different mixtures of organic solvents make necessary prevention measure directed to a progressive reduction of air dispersion of these chemicals. Today exposure to solvents in workplaces is regulated by health based exposure limit values that should warranty absence of central nervous system effects. One of the most important rules of occupational medicine is verify that these exposure levels are really health protective also for workers with increased susceptibility.
制鞋业中有机溶剂的接触源来自用于将鞋部件相互粘合的胶水。苯是鞋厂最早使用的溶剂,直到有证据表明其会导致白血病。随后,接触正己烷与远端多发性神经病有关的证明限制了该物质的使用。此后,对接触不同有机溶剂混合物的工人进行的神经毒理学研究结果使得有必要采取预防措施,逐步减少这些化学品在空气中的扩散。如今,工作场所中溶剂的接触受到基于健康的接触限值的监管,这些限值应确保不会产生中枢神经系统影响。职业医学最重要的规则之一是要核实这些接触水平对于易感性增加的工人而言是否真的具有健康保护作用。