Birmingham Regional NHS Occupational Lung Disease Service, Birmingham Chest Clinic, Birmingham, UK.
NPJ Prim Care Respir Med. 2018 Apr 3;28(1):11. doi: 10.1038/s41533-018-0078-6.
A diagnosis of asbestosis, which is a long-latency, fibrotic lung disease, has implications for the patient in terms of prognosis, treatment and compensation. Identifying and quantifying asbestos exposure is difficult without a detailed occupational history, and the threshold dose of asbestos required to cause asbestosis is not well understood. We reviewed all cases of asbestosis diagnosed between 2001 and 2016 at the Birmingham Regional NHS Occupational Lung Disease Service to determine the industries and occupations most frequently implicated in causation, in order to help clinicians identify where asbestosis might enter the differential diagnosis for a patient with chronic respiratory symptoms. A variety of construction trades were frequently reported including carpenters and joiners, pipe fitters, laggers, labourers, painters and shop fitters. Traditionally heavily exposed occupations such as shipbuilding were not commonly seen.
asbestososis 的诊断是一种潜伏期长、纤维化的肺部疾病，这对患者的预后、治疗和赔偿都有影响。如果没有详细的职业史，识别和量化石棉暴露是很困难的，而且导致 asbestososis 的石棉剂量阈值也不是很清楚。我们回顾了 2001 年至 2016 年间在伯明翰地区国民保健服务职业性肺部疾病服务中心诊断的所有 asbestososis 病例，以确定最常与病因有关的行业和职业，以便帮助临床医生确定在有慢性呼吸道症状的患者中， asbestososis 可能会进入鉴别诊断的范围。各种建筑行业经常被报告，包括木匠和细木工、管工、保温工、劳工、油漆工和商店装修工。传统上暴露较多的职业，如造船业，并不常见。
