Yildiz Mustafa, Kocabay Gonenc
Kartal Kosuyolu Yuksek Ihtisas Heart Education and Research Hospital, Department of Cardiology, Kartal, Istanbul, Turkey.
J Forensic Leg Med. 2013 Aug;20(6):760-2. doi: 10.1016/j.jflm.2013.05.001. Epub 2013 Jun 12.
Aluminium (Al) is the third most prevalent element, representing approximately 8% of total mineral components in the earth's crust (1). Chronic exposure to Al is mainly encountered at particular work places, for example, in foundries or in the Al powder industry, as an occupational exposure. In case of occupational Al exposure, inhalation is the main route of uptake. Chronic exposure to Al is associated with skeletal, neurological, hematological and lung changes. Studies regarding the Al powder industry showed that long-term inhalative exposure to Al can induce pulmonary fibrosis (2). Although there is only one report about ventricular tachycardia as a cardiac manifestation in occupationally exposed persons (3), in this report, we presented a case that had Mobitz type I second-degree atrioventricular block and nonsustained ventricular tachycardia. To our knowledge, this is the first report in chronic poisoning.
铝（Al）是地壳中含量第三丰富的元素，约占地壳总矿物质成分的8%（1）。长期接触铝主要发生在特定工作场所，例如铸造厂或铝粉行业，属于职业暴露。在职业性铝暴露的情况下，吸入是主要的摄入途径。长期接触铝与骨骼、神经、血液和肺部变化有关。关于铝粉行业的研究表明，长期吸入铝可导致肺纤维化（2）。虽然仅有一份报告提及职业暴露人群出现室性心动过速这一心脏表现（3），但在本报告中，我们呈现了一例患有莫氏I型二度房室传导阻滞和非持续性室性心动过速的病例。据我们所知，这是慢性中毒方面的首例报告。
