Division of Environmental and Occupational Health Sciences, University of Illinois Chicago School of Public Health, 1603 West Taylor Street, Chicago, IL 60612, USA; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Division of Environmental and Occupational Health Sciences, University of Illinois Chicago School of Public Health, 1603 West Taylor Street, Chicago, IL 60612, USA; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Clin Chest Med. 2020 Dec;41(4):687-696. doi: 10.1016/j.ccm.2020.08.002.
Coal workers' pneumoconiosis (CWP) and other mining-related lung diseases are entirely preventable, yet continue to occur. While greater attention has been given to CWP and silicosis, mining exposures cause a broad spectrum of respiratory disease, including chronic bronchitis, emphysema, and pulmonary fibrosis. Physicians must obtain a detailed occupational and exposure history from miners in order to make an accurate diagnosis and determine the risk of disease progression. Mining-related lung diseases are incurable and difficult to treat. Therefore, primary prevention by limiting dust exposure and secondary prevention through chest imaging and physiologic screening should be the primary focus of disease control.
煤工尘肺（CWP）和其他与采矿相关的肺部疾病是完全可以预防的，但仍在持续发生。尽管人们对 CWP 和矽肺给予了更多关注，但采矿暴露会导致广泛的呼吸道疾病，包括慢性支气管炎、肺气肿和肺纤维化。医生必须从矿工那里获得详细的职业和暴露史，以便做出准确的诊断并确定疾病进展的风险。与采矿相关的肺部疾病是不可治愈且难以治疗的。因此，通过限制粉尘暴露进行初级预防，以及通过胸部成像和生理筛查进行二级预防，应成为疾病控制的主要重点。
