Thürauf J, Schaller K H, Valentin H, Weltle D, Grote K, Schellmann B
Zentralbl Bakteriol Mikrobiol Hyg B Umwelthyg Krankenhaushyg Arbeitshyg Prav Med. 1986 Jul;182(4):337-47.
Analyses of Cadmium (Cd) in human specimens demand special interest since the Federal Environmental Agency of West-Germany (UBA, FRG) has published calculations and high figures of renal disturbances due to Cd. We analyzed autopsy material from the Cd-polluted area of Goslar/Harz Mountains (N = 28) and from the less contaminated region Erlangen/Nürnberg (Franconia) (N = 50). As determinants of Cd-concentration special regard was given to age, smoking habits, residence (urban/rural), and medical findings (nephropathy, hypertension). A balanced distribution of age is found in all subdivisions, the mean age of death is 66 and 68 yrs., respectively, in both regions. Median values of Cd-concentrations in the target organs from Franconia were found to be half the amount of those from Goslar (renal cortex: 12/19, medulla: 8/16, liver: 1/3 micrograms Cd/g wet weight). Significant local differences are found for renal medulla and liver (p less than 0.05). In both regions the Cd-content is independent from sex and residence (urban/rural). The influence of tobacco smoking on the Cd-burden is evident (greater than 50%). Cases of hypertension show maximum values, although this trend can't be confirmed by the median values. Regional Cd-pollution seems to have more effect than pathological findings: normotensive persons from Goslar have higher median renal Cd-concentrations than hypertensive patients from Franconia. Analyses of renal diseases reveal the same result. All Cd-concentrations are far below the critical value (200 micrograms Cd/g renal cortex, w.w.). The evaluation of such limit values and the results of similar studies are briefly discussed.
鉴于西德联邦环境局(UBA,FRG)公布了因镉导致肾脏紊乱的计算结果和高数值,对人体样本中的镉(Cd)进行分析备受关注。我们分析了来自戈斯拉尔/哈茨山区镉污染地区(N = 28)和污染较轻的埃尔朗根/纽伦堡地区(弗兰肯)(N = 50)的尸检材料。作为镉浓度的决定因素,特别关注了年龄、吸烟习惯、居住情况(城市/农村)以及医学检查结果(肾病、高血压)。在所有细分群体中年龄分布均衡,两个地区的平均死亡年龄分别为66岁和68岁。发现弗兰肯地区靶器官中镉浓度的中位数是戈斯拉尔地区的一半(肾皮质:12/19,髓质:8/16,肝脏:1/3微克镉/克湿重)。肾髓质和肝脏存在显著的局部差异(p小于0.05)。在两个地区,镉含量与性别和居住情况(城市/农村)无关。吸烟对镉负荷的影响明显(超过50%)。高血压病例显示出最大值,尽管中位数无法证实这一趋势。区域镉污染似乎比病理检查结果影响更大:来自戈斯拉尔的血压正常者肾镉浓度中位数高于来自弗兰肯的高血压患者。肾脏疾病分析也得出相同结果。所有镉浓度均远低于临界值(200微克镉/克肾皮质,湿重)。本文简要讨论了此类限值的评估以及类似研究的结果。