Emmett E A, Maroni M, Schmith J M, Levin B K, Jefferys J
Center for Occupational and Environmental Health, Johns Hopkins University, Baltimore.
Am J Ind Med. 1988;13(4):415-27. doi: 10.1002/ajim.4700130402.
A cross-sectional study compared 55 transformer repairmen, 38 currently, and 17 previously exposed to polychlorinated biphenyls (PCBs) with 56 non-exposed subjects. PCBs exposures occurred from air and contaminated surfaces, predominantly from Aroclor 1260 with some exposure to Aroclor 1242. Each worker underwent: a questionnaire; standardized medical examination; delayed hypersensitivity testing; and determination of serum and adipose tissue lipid total PCB concentrations. Adipose and serum [PCBs] were significantly higher in the currently exposed, but previously exposed workers did not differ significantly from comparison subjects. No subjects had a classical syndrome of PCB poisoning. A number of neurobehavioral and irritant symptoms were significantly more prevalent in the exposed group, but were probably not related to PCBs. Comedones were more frequent in the exposed group, but no evidence of classical chloracne was noted. Cutaneous delayed hypersensitivity responses to mumps and to trichophyton antigens did not differ between the groups. The association of PCBs with job functions were explored.
一项横断面研究比较了55名变压器维修工人(其中38名目前接触多氯联苯(PCBs),17名以前接触过PCBs)与56名未接触者。PCBs暴露来自空气和受污染表面,主要是Aroclor 1260,也有一些接触Aroclor 1242。每名工人都接受了:问卷调查;标准化医学检查;迟发型超敏反应检测;以及血清和脂肪组织脂质中总PCB浓度的测定。目前接触PCBs的工人的脂肪和血清中[PCBs]显著更高,但以前接触过PCBs的工人与对照组相比无显著差异。没有受试者患有典型的PCB中毒综合征。暴露组中一些神经行为和刺激性症状明显更为普遍,但可能与PCBs无关。暴露组中粉刺更为常见,但未发现典型氯痤疮的证据。两组之间对腮腺炎和毛癣菌抗原的皮肤迟发型超敏反应无差异。还探讨了PCBs与工作职能的关联。