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成功进行人工石相关加速矽肺的肺移植:病例报告。

Successful lung transplantation for artificial stone-associated accelerated silicosis: a case report.

机构信息

Department of Occupational Medicine, Linkou Chang Gung Memorial Hospital, Taiwan.

Department of Emergency Medicine, Linkou Chang Gung Memorial Hospital, Taiwan.

出版信息

Ind Health. 2024 Jun 1;62(3):209-214. doi: 10.2486/indhealth.2023-0093. Epub 2023 Oct 20.

Abstract

This report focuses on the occupational health risks associated with the use of artificial stones containing high levels of crystalline silica in the production of kitchen countertops. It presents the case of a 43-yr-old man who developed severe silicosis due to his occupation involving cutting and polishing quartz stone raw materials. A retrospective analysis of the patient's medical records and occupational history was conducted. The diagnosis of severe silicosis, moderate restrictive lung disease, and bilateral pneumothorax was based on clinical manifestations, pulmonary function test, radiological findings, and histological reports. The patient underwent lung transplantation, and his pulmonary function improved post-surgery. The study highlights the significant health risks associated with procedures involving artificial stones and emphasizes the importance of awareness and protective measures for employees and workers. Clinicians should be cautious when diagnosing respiratory symptoms in patients with a history of occupational exposure to artificial stones containing high levels of crystalline silica.

摘要

本报告重点关注使用含有高水平结晶硅的人造石材在生产厨房台面过程中所带来的职业健康风险。报告介绍了一位 43 岁男子的案例,他因从事切割和抛光石英石原材料的工作而患上严重矽肺。对患者的病历和职业史进行了回顾性分析。根据临床表现、肺功能测试、影像学结果和组织学报告,诊断为严重矽肺、中度限制性肺疾病和双侧气胸。患者接受了肺移植,术后肺功能得到改善。该研究强调了涉及人造石材的操作所带来的重大健康风险,并强调了提高员工和工人的认识和采取防护措施的重要性。临床医生在诊断有职业性暴露于含有高水平结晶硅的人造石材的患者的呼吸症状时应保持警惕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d9/11170085/fab13f806b0f/indhealth-62-209-g001.jpg

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