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钦奈地铁隧道建设期间的压缩空气作业:职业健康问题

Compressed Air Working in Chennai During Metro Tunnel Construction: Occupational Health Problems.

作者信息

Kulkarni Ajit C

机构信息

Consultant in Diving Medicine, Mumbai, India.

出版信息

Indian J Occup Environ Med. 2017 Sep-Dec;21(3):105-108. doi: 10.4103/ijoem.IJOEM_38_17.

Abstract

Chennai metropolis has been growing rapidly. Need was felt of a metro rail system. Two corridors were planned. Corridor 1, of 23 km starting from Washermanpet to Airport. 14.3 km of this would be underground. Corridor 2, of 22 km starting from Chennai Central Railway station to St. Thomas Mount. 9.7 km of this would be underground. Occupational health centre's role involved selection of miners and assessing their fitness to work under compressed air. Planning and execution of compression and decompression, health monitoring and treatment of compression related illnesses. More than thirty five thousand man hours of work was carried out under compressed air pressure ranged from 1.2 to 1.9 bar absolute. There were only three cases of pain only ( Type I) decompression sickness which were treated with recompression. Vigilant medical supervision, experienced lock operators and reduced working hours under pressure because of inclement environmental conditions viz. high temperature and humidity, has helped achieve this low incident. Tunnelling activity will increase in India as more cities will soon opt for underground metro railway. Indian standard IS 4138 - 1977 " Safety code for working in compressed air" needs to be updated urgently keeping pace with modern working methods.

摘要

金奈市一直在迅速发展。人们感到需要一个地铁系统。规划了两条线路。线路1长23公里,从瓦舍曼佩特延伸至机场,其中14.3公里将为地下线路。线路2长22公里,从金奈中央火车站延伸至圣托马斯山,其中9.7公里将为地下线路。职业健康中心的职责包括挑选矿工并评估他们在压缩空气环境下工作的健康状况。规划和实施加压与减压过程,对与压缩相关疾病进行健康监测和治疗。在绝对压力为1.2至1.9巴的压缩空气环境下,开展了超过三万五千工时的工作。仅出现了三例仅有疼痛症状(I型)的减压病病例,均通过再加压治疗。由于恶劣的环境条件,即高温和高湿度,进行了严格的医疗监督、配备了经验丰富的锁闸操作员并减少了压力环境下的工作时间,这有助于实现如此低的发病率。随着更多城市很快选择建设地下地铁铁路,印度的隧道工程活动将会增加。印度标准IS 4138 - 1977《压缩空气作业安全规范》需要紧跟现代工作方法的步伐,紧急更新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1de3/5868083/fbb698b4d098/IJOEM-21-105-g001.jpg

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