McCunney R J
J Fam Pract. 1986 Jan;22(1):73-8.
Attention to the hazards of asbestos has aroused concern among many healthy persons who have been exposed at some time to one of the world's most versatile materials. Present standards for exposure to asbestos, however, may not fully protect workers from asbestos-induced pulmonary malignancy. To evaluate the patient who has had some asbestos exposure, the physician should focus on the pulmonary system, take a thorough occupational history, conduct a physical examination and pulmonary function studies, and obtain chest films. In managing the patient with asbestosis, removal from further occupational exposure is advisable. For workers with only pleural changes, it is unclear whether removal from the work place is of any value.
对石棉危害的关注已引起许多曾在某个时候接触过这种世界上用途最广泛的材料之一的健康人的担忧。然而,目前的石棉接触标准可能无法充分保护工人免受石棉诱发的肺部恶性肿瘤的侵害。为了评估曾接触过石棉的患者,医生应关注肺部系统,进行全面的职业史询问、体格检查和肺功能研究,并拍摄胸部X光片。在管理石棉沉着病患者时,建议其脱离进一步的职业接触。对于仅有胸膜改变的工人,脱离工作场所是否有任何价值尚不清楚。