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[对人造石英石制造商新诊断出的尘肺病的调查]

[Investigation of newly diagnosed pneumoconiosis from artificial quartz stone manufacturers].

作者信息

Min C Y, Kong Y L, Chen Y W, Mao L

机构信息

The Fifth people's Hospital of Suzhou, Suzhou 215000, China.

Shanghai Lung Hospital Affiliated to Tongji University, Shanghai 200433, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Sep 20;40(9):681-683. doi: 10.3760/cma.j.cn121094-20211013-00501.

Abstract

Artificial quartz dust exposure may cause associated pneumoconiosis. From November 2019 to July 2020, a total of 27 cases of silicosis associated with artificial quartz stone manufacturers were diagnosed and treated in the Occupational disease Department of Suzhou Fifth People's Hospital. The average age of onset was (46.8±6.6) years, and the average working age of dust exposure was (5.7±1.7) years.The main feature of high KV chest radiography is P/S shadow with strip shadow. CT imaging findings showed diffuse small nodules and ground glass shadows with band shadows. The lesions were mainly distributed in the upper lung, accompanied by pleural thickening, lymphadenopathy and calcification. The pulmonary function impairment was mainly mild restrictive ventilation disorder, and the bronchial mucosa longitudinal plica was the main manifestation under tracheoscopy. The age of silicosis of workers in artificial quartz stone production enterprises is younger, the working age of dust exposure is short, the lung function and bronchial mucosa have a certain degree of damage, and effective preventive measures should be taken in time.

摘要

接触人造石英粉尘可能导致相关尘肺病。2019年11月至2020年7月,苏州市第五人民医院职业病科共诊断并治疗了27例与人造石英石生产厂家相关的矽肺病病例。发病平均年龄为(46.8±6.6)岁,平均接尘工龄为(5.7±1.7)年。高千伏胸片主要表现为P/S阴影伴条索状阴影。CT影像表现为弥漫性小结节及磨玻璃影伴条索状阴影。病变主要分布于上肺,伴有胸膜增厚、淋巴结肿大及钙化。肺功能损害以轻度限制性通气障碍为主,气管镜下主要表现为支气管黏膜纵襞。人造石英石生产企业工人矽肺病发病年龄较轻,接尘工龄短,肺功能及支气管黏膜有一定程度损害,应及时采取有效的预防措施。

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