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[接触粉尘工人的喉癌前病变及其预防]

[Precancerous conditions of the larynx in workers exposed to dust and their prevention].

作者信息

Podol'skaia E V

出版信息

Vestn Otorinolaringol. 1989 Mar-Apr(2):67-9.

PMID:2728183
Abstract

This paper presents the results of examinations of 522 workers exposed to various industrial dusts and 361 workers exposed to different concentrations of carcinogenic asbestos dust. The examinations showed a significantly higher incidence of total processes in the upper respiratory tract which manifested as chronic subatrophic nasopharingitis and hyperplastic laryngitis. Also, they demonstrated a significantly higher incidence of local processes that manifested as hyperplasia of the laryngeal mucosa and contact fibromas. These laryngeal lesions can be viewed as etiologically associated with the effect of industrial dusts having traumatic (abrasive and glass dust) and carcinogenic (asbestos) properties. Patients with the above laryngeal pathologies should be removed from the dust environment and sent to physical examinations with emphasis on occupational diseases.

摘要

本文介绍了对522名接触各种工业粉尘的工人以及361名接触不同浓度致癌性石棉粉尘的工人进行检查的结果。检查显示,上呼吸道总体病变的发生率显著更高,表现为慢性亚萎缩性鼻咽炎和增生性喉炎。此外,他们还表现出局部病变的发生率显著更高,表现为喉黏膜增生和接触性纤维瘤。这些喉部病变可被视为与具有创伤性(磨料和玻璃粉尘)和致癌性(石棉)特性的工业粉尘的影响在病因学上相关。患有上述喉部疾病的患者应脱离粉尘环境,并送去进行以职业病为重点的体格检查。

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