Unidad de Medicina Ocupacional, Departamento de Cirugía Médica y Neurociencias, Universidad de Siena, Siena, Italia.
Unidad de prevención de riesgos laborales, AUSL 11, Empoli, Italia.
Arch Bronconeumol. 2015 Dec;51(12):e57-60. doi: 10.1016/j.arbres.2014.12.010. Epub 2015 Sep 26.
Recently, a number of reports have been published on silicosis in workers exposed to artificial quartz conglomerates containing high levels of crystalline silica particles (70-90%) used in the construction of kitchen and bathroom surfaces. Three cases of silicosis in workers exposed to artificial quartz conglomerates are reported. The diagnosis was derived from both the International Labour Office and the International Classification of HRCT for Occupational and Environmental Respiratory Diseases (ICOERD) classifications and cytological analysis of bronchoalveolar lavage fluid. In 2 cases, levels of respirable silica greatly in excess of recommended standards were measured in the workplace, and cytological analysis of bronchoalveolar lavage fluid highlighted a prevalence of lymphocytes, meeting criteria for the diagnosis of accelerated silicosis. The prevention of pneumoconiosis caused by the use of innovative materials, such as artificial conglomerates with high crystalline silica content must be addressed.
最近，有一些报道发表了关于在厨房和浴室表面使用的含有高浓度结晶二氧化硅颗粒（70-90%）的人造石英聚集体中暴露的工人的矽肺。报告了三例接触人造石英聚集体的工人矽肺病例。诊断依据为国际劳工组织和国际职业和环境性呼吸道疾病高分辨率计算机断层扫描分类（ICOERD）以及支气管肺泡灌洗液的细胞学分析。在 2 例病例中，工作场所测量的可吸入二氧化硅水平大大超过了推荐标准，支气管肺泡灌洗液的细胞学分析突出显示淋巴细胞流行，符合加速矽肺的诊断标准。必须解决使用创新材料（如高结晶二氧化硅含量的人造聚集体）引起的尘肺病的预防问题。
