Ehrlich R I, Gerston K F, Lalloo U G
Department of National Health and Population Development, National Centre for Occupational Health, Johannesburg.
S Afr Med J. 1988 Jan 23;73(2):128-30.
A case of accelerated silicosis in a shotblaster in an iron foundry is described. The clinical course was notable for the rapid progression of cor pulmonale and the appearance of clubbing over a period of 2-3 months. Radiographic and pathological features atypical of the more chronic forms of the disease are described. The importance of the occupational history and the need for the strictest respiratory protection in such work are illustrated. Stringent control of this type of operation is urgently needed.
本文描述了一例铸铁厂抛丸清理工的速发型矽肺病例。临床病程的特点是在2至3个月内肺心病迅速进展且出现杵状指。文中描述了该疾病较慢性形式不典型的影像学和病理学特征。阐述了职业史的重要性以及此类工作中采取最严格呼吸防护措施的必要性。迫切需要对此类作业进行严格管控。
