[一例谷仓填充工病]

[A case of silo-fillers' disease].

作者信息

Shiramine K, Terai T, Yoshikawa T, Nagai T, Ohmiya H, Ishimaru O

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1989 May;27(5):616-9.

Abstract

A 52 year-old male farmer was admitted to our hospital because of cough, sputum and dyspnea on exertion. Chest X-ray showed pulmonary edema and arterial blood gas analysis showed hypoxemia. Silo-fillers' disease was diagnosed because he had allegedly inhaled yellowish gas in the silo. The day following steroid therapy, symptoms and pulmonary edema improved. Silo-fillers' disease is chemical pneumonitis due to exposure to the oxides of nitrogen which are produced in silos. Although reported cases of silo-fillers' disease in Japan are rare it should be kept in mind in areas involved with dairy farming.

摘要

一名52岁的男性农民因咳嗽、咳痰和劳力性呼吸困难入院。胸部X线显示肺水肿，动脉血气分析显示低氧血症。由于据称他在谷仓中吸入了淡黄色气体，故诊断为谷仓填充工病。类固醇治疗后的第二天，症状和肺水肿有所改善。谷仓填充工病是由于接触谷仓中产生的氮氧化物引起的化学性肺炎。虽然日本报道的谷仓填充工病病例很少，但在涉及奶牛养殖的地区应予以关注。