Comstock E G
Clin Toxicol. 1979;15(1):1-11. doi: 10.3109/15563657908992474.
Two hundred twelve consecutive cases presenting to a medical toxicologist related to chronic occupational exposure (49%), acute occupational exposure (24%), and nonoccupational exposure (27%). Chief complaints were respiratory (36%), behavioral (28%), neuropathy (17%), and organic brain syndrome (10%). In 90% of patients, litigation was in process or under consideration. Referrals were from plaintiff attorneys (37%), from employers, insurance compounds, and defense attorneys (26%), and from physicians (24%). Outcome of assessment revealed 55% to be unrelated to toxic substances, 39% probably related, and 6% positively related.
连续212例患者被转诊至医学毒理学家处，这些病例与慢性职业暴露（49%）、急性职业暴露（24%）和非职业暴露（27%）有关。主要症状为呼吸系统症状（36%）、行为症状（28%）、神经病变（17%）和器质性脑综合征（10%）。90%的患者正在进行诉讼或考虑诉讼。转诊来源包括原告律师（37%）、雇主、保险公司和辩护律师（26%）以及医生（24%）。评估结果显示，55%与有毒物质无关，39%可能有关，6%肯定有关。
