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[哮喘与职业生活(作者译)]

[Asthma and professional life (author's transl)].

作者信息

Gervais P, Diamant-Berger O, Gervais A

出版信息

Rev Fr Mal Respir. 1979 Mar-Apr;7(2):149-57.

PMID:493690
Abstract

In world industry and agriculture as a whole, the number of people with asthma and complex pneumopathies related to chemical and organic pollution seems important. Indeed, subjects with an atopic inclination are often the first to be jeoparized. However, it must be stressed that occurrence of asthma in relation with work should always lead to investigate an anomaly in professional hygiene. For other workers this latter eventuality constitutes in the long run a threat of precipitin pneumopathy, chronic bronchitis, pulmonary fibrosis, or even cancer (in the case of nickel). Selection upon hiring is an unsatisfactory measure. The improvement of the atmospheric conditions at work should always be sought for. In some professional asthma cases, we were able to confirm that medication provides efficient protection. This solution, however, seems only slightly satisfactory since the subject is still left in contact with substances which have harmful effects other than asthma. It is therefore important that doctors track down and explore the cases of professional asthma, declaring their existence to social security and work inspection organizations, in order to establish an epidemiological knowledge, regularly updated, which would provide an indispensable basis for any prevention through improvement of working conditions.

摘要

在全球工农业中,因化学和有机污染而患有哮喘及复杂肺部疾病的人数似乎众多。事实上,具有特应性倾向的人群往往首当其冲受到危害。然而,必须强调的是,职业性哮喘的发生总是需要对职业卫生异常情况进行调查。对于其他工人而言,从长远来看,这种情况构成了发生沉淀性肺病、慢性支气管炎、肺纤维化甚至癌症(如镍暴露所致)的威胁。招聘筛选并非令人满意的措施。应始终寻求改善工作环境的大气条件。在一些职业性哮喘病例中,我们能够证实药物治疗可提供有效的保护。然而,这种解决方案似乎只是稍有成效,因为患者仍会接触到除哮喘之外具有有害影响的物质。因此,医生追踪和研究职业性哮喘病例,并向社会保障和劳动监察机构报告其存在情况,以建立定期更新的流行病学知识,这对于通过改善工作条件进行任何预防而言都是不可或缺的基础,这一点至关重要。

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