Soumagne T, Caillaud D, Degano B, Dalphin J-C
Service de pneumologie, hôpital Jean-Minjoz, CHU de Besançon, 25030 Besançon cedex, France; Service de physiologie-explorations fonctionnelles, hôpital Jean-Minjoz, CHU de Besançon, 25030 Besançon cedex, France.
Service de pneumologie, université d'Auvergne, CHU Gabriel-Montpied, rue Montalembert, 63003 Clermont-Ferrand, France.
Rev Mal Respir. 2017 Jun;34(6):607-617. doi: 10.1016/j.rmr.2016.07.009. Epub 2017 May 13.
Chronic obstructive pulmonary disease (COPD) most often results from the inhalation of toxic agents. Cigarette smoking still remains the principal cause but the pertinence of occupational COPD is now clearly established. After a brief overview of the epidemiology of this "other COPD", the clinical and functional characteristics are summarized, taking into account recent advances in this field. The combined effects of occupational exposure and tobacco are also considered, providing evidence of the need to continuously reinforce campaigns of education and prevention in occupational COPD.
慢性阻塞性肺疾病(COPD)大多由吸入有毒物质所致。吸烟仍是主要病因,但职业性COPD的相关性现已明确确立。在简要概述这种“其他COPD”的流行病学之后,结合该领域的最新进展,总结了其临床和功能特征。还考虑了职业暴露与烟草的联合作用,证明有必要持续加强职业性COPD的教育和预防宣传活动。