工作场所中使用笔记本电脑导致双肘致残性神经损伤：双侧尺神经病变病例报告。
Work Disabling Nerve Injury at Both Elbows Due to Laptop Use at Flexible Workplaces inside an Office: Case-Report of a Bilateral Ulnar Neuropathy.
机构信息
Department of Public and Occupational Health, Netherlands Centre for Occupational Diseases, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, 1105 Amsterdam, The Netherlands.
Self-Employed Occupational Physician, 5221 Den Bosch, The Netherlands.
出版信息
Int J Environ Res Public Health. 2020 Dec 19;17(24):9529. doi: 10.3390/ijerph17249529.
BACKGROUND
This case report describes whether a female civil servant who developed bilateral ulnar neuropathy can be classified as having an occupational disease.
METHODS
The Dutch six-step protocol for the assessment and prevention of occupational diseases is used.
RESULTS
Based on the six-step protocol, we propose that pressure on the ulnar nerve in the elbow region precipitated the neuropathy for this employee while working prolonged periods in elbow flexion with a laptop.
CONCLUSION
Despite the low incidence laptop use might be a risk factor for the occurrence of ulnar neuropathy due to prolonged pressure on the elbow. Employers and workers need to be educated about this disabling occupational injury due to laptop use and about protective work practices such as support for the upper arm and elbow. This seems especially relevant given the trend of more flexible workspaces inside and outside offices, and given the seemingly safe appearance of laptop use.
背景
本病例报告描述了一位双侧尺神经病变的女性公务员是否可被归类为职业病。
方法
采用荷兰职业疾病评估和预防的六步方案。
结果
根据六步方案，我们提出该员工在使用笔记本电脑时长时间保持肘部弯曲，导致肘部尺神经受压，从而引发了该员工的神经病变。
结论
尽管发生率较低，但长时间压迫肘部可能使笔记本电脑的使用成为尺神经病变的一个危险因素。雇主和工人需要了解因使用笔记本电脑而导致的这种致残性职业伤害，以及保护工作的相关实践，例如对上臂和肘部的支撑。鉴于办公室内外更灵活的工作空间的趋势，以及笔记本电脑使用看似安全的表象，这一点似乎尤为重要。
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