Cappelli M I, Macchione M, Pulini S, Aquilina T, Cancanelli G
Centro Medicina del Lavoro ENI, Eniservizi S.p.A, viale de Gasperi 5/b, 20097 San Donato Milanese, Milano, Italy.
G Ital Med Lav Ergon. 2012 Jul-Sep;34(3 Suppl):643-5.
Working overseas is a reality for decades in the Oil&Gas Industry and many noxae impact on the cardiovascular system. In fitness to work evaluation the physician should consider besides the conventional risk factors, the presence of cardiovascular diseases, and prevent their evolution. A cardiovascular screening and follow up after 2 years was carried out on 42 Oil&Gas employees, over 45 of age, during medical fitness to work. The main tests were ECG, exercise tolerance test (ETT) and echocardiocolordoppler, completed with other instrumental tests. Cardiovascular diseases causing unfitness to working overseas occurred in 7%, blood hypertension in 23%. The screening permitted to diagnose and correct acute cardiovascular diseases, that caused unfitness to work, and disease that can get worse related to occupational risk. Moreover it was fundamental for evaluation of fitness and timing of health surveillance.
在石油和天然气行业，海外工作已成为几十年来的现实，许多有害物质会对心血管系统产生影响。在工作适应性评估中，医生除了应考虑传统风险因素和心血管疾病的存在外，还应预防其病情发展。在对42名年龄超过45岁的石油和天然气行业员工进行职业健康体检时，进行了心血管筛查，并在两年后进行了跟踪随访。主要检查项目包括心电图、运动耐量试验（ETT）和超声心动图彩色多普勒检查，并辅以其他仪器检查。因心血管疾病而不适合海外工作的比例为7%，高血压为23%。此次筛查有助于诊断和纠正导致无法工作的急性心血管疾病，以及可能因职业风险而加重的疾病。此外，这对于评估工作适应性和健康监测时机至关重要。
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