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埃特纳火山熔岩岩石粉尘中接触结晶硅石的工人患尘肺病的风险

Risk of Pneumoconiosis in Workers Exposed to Crystalline Silica from Lava Rock Dust from Mount Etna.

作者信息

Vella Francesca, Filetti Veronica, Matera Serena, Spinello Salvatore, Vinnikov Denis, Muscato Giuseppe, Rapisarda Venerando, Matera Davide, Rapisarda Lucia, Vitale Ermanno

机构信息

Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy.

Federazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00153 Rome, Italy.

出版信息

J Clin Med. 2025 May 28;14(11):3781. doi: 10.3390/jcm14113781.

DOI:10.3390/jcm14113781
PMID:40507543
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12155804/
Abstract

Pneumoconiosis is a group of lung diseases characterized by the deposition and accumulation of dust or mineral fibers in the lung interstitium, primarily caused by occupational exposure. The aim of this study was to identify cases of pneumoconiosis induced by occupational exposure in patients living on the island of Sicily (South Italy), through the retrospective analysis of pneumoconiosis cases registered by the Reference Center for the Prevention, Diagnosis and Treatment of Interstitial Lung Diseases and Rare Lung Diseases (RCLD) of University of Catania, during the decade 2012-2022. Furthermore, the results of a screening conducted in the same 10-year period (2012-2022) on cohorts of workers potentially exposed to RCS generated by Etna's volcanic dust are reported. From the consultation of the RCLD database, there does not appear to be any correlation between pulmonary fibrosis and exposure to dust of basaltic origin. These data seem to be confirmed by the data of the health monitoring conducted over 10 years on 200 workers involved in different processes of working with lava stone.

摘要

尘肺病是一组肺部疾病,其特征是肺间质中存在粉尘或矿物纤维的沉积和积聚,主要由职业暴露引起。本研究的目的是通过回顾性分析卡塔尼亚大学间质性肺病和罕见肺病预防、诊断与治疗参考中心(RCLD)在2012年至2022年这十年间登记的尘肺病病例,来确定居住在西西里岛(意大利南部)的患者中因职业暴露引起的尘肺病病例。此外,还报告了在同一10年期间(2012 - 2022年)对可能接触埃特纳火山尘产生的RCS的工人群体进行筛查的结果。从RCLD数据库的查阅情况来看,肺纤维化与接触玄武岩源粉尘之间似乎没有任何关联。对200名从事与火山石不同加工过程的工人进行的为期10年的健康监测数据似乎证实了这些数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/12155804/0b7a642ec043/jcm-14-03781-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/12155804/0b7a642ec043/jcm-14-03781-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/12155804/0b7a642ec043/jcm-14-03781-g001.jpg

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本文引用的文献

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Relationship between cumulative silica exposure and silicosis: a systematic review and dose-response meta-analysis.累积二氧化硅暴露与矽肺的关系:系统评价和剂量反应荟萃分析。
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在钢筋混凝土生产过程中接触的细颗粒物及其与呼吸症状和肺功能的关系。
BMC Public Health. 2023 Sep 18;23(1):1813. doi: 10.1186/s12889-023-16753-x.
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Advanced argillic alteration at Cave di Caolino, Lipari, Aeolian Islands (Italy): Implications for the mitigation of volcanic risks and the exploitation of geothermal resources.卡瓦洛尼奥洞穴的高级蚀变粘土:对减轻火山风险和开发地热能资源的意义。
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BMJ Open. 2023 Mar 1;13(3):e065114. doi: 10.1136/bmjopen-2022-065114.
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