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[人工石矽肺:以色列的流行病,当前观点]

[ARTIFICIAL STONE SILICOSIS: THE ISRAEL EPIDEMIC, CURRENT VIEW].

作者信息

Shtraichman Osnat, Kramer Mordechai R

机构信息

Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Harefuah. 2017 Aug;156(8):517-521.

Abstract

Silicosis is a fibrotic occupational pulmonary disease that results from over-exposure to crystalline silica-containing dust. Silicosis is a progressive disease which can often lead to advanced respiratory failure, the need for lung transplantation or death. There are a number of silicosis associated diseases which constitute diagnostic challenges, as well as contribute to further morbidity. Although preventable through appropriate workplace precautions, silicosis not only remains an endemic disease worldwide, it has also manifested a resurgence of epidemic disease in recent years, as seen in the inclining prevalence of disease in Israel. This review aims to present the silicosis epidemic in Israel, its causes and the ways to prevent further outbreaks of disease. We describe clinical and radiological imaging features, associated diseases and differential diagnosis for the purpose of raising awareness of the disease among medical professionals thus promoting early detection and diagnosis.

摘要

矽肺是一种纤维化职业性肺病,由过度接触含结晶二氧化硅粉尘引起。矽肺是一种进行性疾病,常可导致晚期呼吸衰竭、需要进行肺移植或死亡。有许多与矽肺相关的疾病,这些疾病构成了诊断挑战,并导致了进一步的发病。尽管通过适当的工作场所预防措施可以预防,但矽肺不仅在全球范围内仍然是一种地方病,近年来还出现了流行病的再度流行,如以色列疾病患病率呈上升趋势所示。本综述旨在介绍以色列的矽肺流行情况、其病因以及预防疾病进一步爆发的方法。我们描述了临床和放射影像学特征、相关疾病及鉴别诊断,目的是提高医学专业人员对该疾病的认识,从而促进早期发现和诊断。

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