Waśkiewicz J, Renke W
Bull Inst Marit Trop Med Gdynia. 1985;36(1-4):17-27.
Examinations were carried out among 602 dockers of sea-ports working at stevedore and trimmer work places in loading/discharging of dusty materials. The mean age of the population examined was 40.38 SD+/- 8.83 years and the mean length of service 13.33 SD +/- 6.91 years. In the material examined the authors found 32.7 per cent of cases with chronic non-specific respiratory system diseases. The evaluation of electrocardiograms was performed with the use of Minnesota code. We have found abnormal electrocardiograms in 49.16 per cent of the persons examined, but in 119 persons were observed patterns of the influence of parasympathetic system, which one should recognize as features of good training and fitness to perform hard physical work. If this just mentioned group is left out the total of the abnormal electrocardiograms reaches 28.90 per cent. In ECG recordings we have found pathologic changes in Q and QS waves evidencing the existence of necrotic foci and healed infarct. In cases of chronic non-specific respiratory system diseases (37.7 per cent) occurring particularly over age of 50 years P-pulmonale waves, complete and incomplete right bundle branch blocks, jagged QRS complex and rotation change, as traits of right ventricular hypertrophy were found.
对602名在海港从事装卸粉尘物料工作的码头工人进行了检查,这些工人分别在装卸工和理货员岗位工作。受检人群的平均年龄为40.38岁±标准差8.83岁,平均工作年限为13.33年±标准差6.91年。在受检材料中,作者发现32.7%的病例患有慢性非特异性呼吸系统疾病。心电图评估采用明尼苏达编码。我们发现49.16%的受检者心电图异常,但有119人观察到副交感神经系统影响的模式,应将其视为良好训练和适应艰苦体力劳动的特征。如果将上述这组人排除在外,心电图异常总数达到28.90%。在心电图记录中,我们发现Q波和QS波有病理变化,证明存在坏死灶和陈旧性梗死。在慢性非特异性呼吸系统疾病患者(37.7%)中,尤其是50岁以上患者,发现了肺型P波、完全性和不完全性右束支传导阻滞、锯齿状QRS波群和转位变化,这些都是右心室肥大的特征。