Hänninen H
Br J Ind Med. 1971 Oct;28(4):374-81.
374-381. A battery of psychological tests was administered to 50 viscose workers with carbon disulphide (CS) poisoning, 50 viscose workers exposed to CS without known poisoning, and 50 workers not exposed to CS. There were large and statistically significant differences between the group means of the poisoned and the unexposed group in most performances involving speed, vigilance, manual dexterity, and intelligence. The exposed group also showed impairment, but the changes were less severe. CS thus apparently affects the working capacity and sociability of exposed workers earlier than can be diagnosed by purely medical means. The differences between the groups were further studied by discriminant function analysis. The poisoned group could be reliably discriminated from the unexposed group. Of the unexposed and poisoned subjects, 91% were correctly classified in the proper group. The exposed workers could not be discriminated from the poisoned subjects with the same reliability owing to the effects of latent CS poisoning in the former group. Analysis of the discriminant functions further suggests that the syndromes of latent and manifest CS poisoning differ not only in intensity but also in quality. Clinically manifested poisoning is characterized by lowered vigilance, diminished intellectual activity, diminished rational control, retarded speed, and motor disturbances, whereas traits indicative of depressive mood, slight motor disturbances, and intellectual impairment are characteristic of latent poisoning. This syndrome is probably much more common than was hitherto believed.
374 - 381。对50名患有二硫化碳(CS)中毒的粘胶工人、50名接触CS但无已知中毒情况的粘胶工人以及50名未接触CS的工人进行了一系列心理测试。在大多数涉及速度、警觉性、手部灵活性和智力的表现方面,中毒组和未接触组的组均值存在很大且具有统计学意义的差异。接触组也表现出损伤,但变化程度较轻。因此,CS显然比单纯通过医学手段能够诊断的时间更早地影响接触工人的工作能力和社交能力。通过判别函数分析进一步研究了各组之间的差异。中毒组能够可靠地与未接触组区分开来。在未接触组和中毒组受试者中,91%被正确分类到相应组中。由于前一组存在潜在CS中毒的影响,接触工人无法以相同的可靠性与中毒受试者区分开来。判别函数分析进一步表明,潜在和明显CS中毒的综合征不仅在强度上不同,在性质上也不同。临床表现出的中毒特征为警觉性降低、智力活动减弱、理性控制减弱、速度减慢和运动障碍,而抑郁情绪、轻微运动障碍和智力损伤等特征则是潜在中毒的特征。这种综合征可能比迄今认为的更为常见。