Phillips M S, Robinson A A, Higenbottam T W, Calder I M
Papworth Hospital, Cambridgeshire.
J R Soc Med. 1987 Nov;80(11):674-7. doi: 10.1177/014107688708001105.
This study draws attention to difficulties in the diagnosis and the understanding of the mechanism of action of mushroom compost worker's lung. Descriptions are given of 4 workers in one factory who developed acute respiratory failure within a 6-month period; 13 others who were unaffected were also studied. Serological investigation appears to be largely unhelpful, and the evidence against the condition being included amongst the extrinsic allergic alveolitides is discussed. A detailed clinical and occupational history is essential for diagnosis.
本研究提请注意蘑菇堆肥工人肺的诊断困难及对其作用机制的理解。文中描述了一家工厂的4名工人在6个月内发生急性呼吸衰竭的情况；还对另外13名未受影响的工人进行了研究。血清学调查似乎大多无济于事，并讨论了反对将该病归入外源性过敏性肺泡炎的证据。详细的临床和职业病史对诊断至关重要。
