一例与慢性甲苯暴露相关的扩张型心肌病病例。
A Case of Dilated Cardiomyopathy Associated With Chronic Toluene Exposure.
作者信息
Denault Gabrielle, Chahdi Hamza Ouazani, Patry Louis, Costa Jean-Pascal
机构信息
Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
Department of Occupational Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
出版信息
CJC Open. 2022 Sep 21;4(12):1024-1026. doi: 10.1016/j.cjco.2022.09.001. eCollection 2022 Dec.
A 56-year-old woman working in a factory for the past 34 years presented with dilated cardiomyopathy of unknown etiology. She was exposed daily to toluene at work, without adequate protective equipment. A public health department investigation reported that toluene exposure among workers at her factory was more than 3 times the established limit. Toluene inhalation is associated with cases of cardiac arrhythmias, vasospasm, and cardiomyopathy. Occupational exposure to cardiotoxic substances should be investigated in patients with idiopathic cardiomyopathy. This case report highlights an association between a case of dilated cardiomyopathy and chronic exposure to toluene.
一名56岁女性，在工厂工作了34年，患有病因不明的扩张型心肌病。她在工作中每天接触甲苯，且未配备足够的防护设备。公共卫生部门的一项调查显示，她所在工厂的工人接触甲苯的量超过既定限值3倍以上。吸入甲苯与心律失常、血管痉挛和心肌病病例有关。对于特发性心肌病患者，应调查其职业性接触心脏毒性物质的情况。本病例报告强调了一例扩张型心肌病与长期接触甲苯之间的关联。
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