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[煤矿工人的呼吸道疾病。I. 尘肺病]

[Respiratory tract diseases in coal miners. I. Pneumoconiosis].

作者信息

Szymczykiewicz K

出版信息

Med Pr. 1979;30(5):357-65.

PMID:514072
Abstract

In two mines, "A"--in Lower Silesia with low, inclined coal seam and lesser degree of output mechanization and "B"--in the Silesia-Dabrowa Basin with high coal seams and a great degree of output mechanization), work conditions were examined (dust concentration, chemical composition of dust, and microclimate) and medical examinations of underground miners were done. The examinations involved: mine "A"--2094 miners, mine "B"--1846 miners. The two examined populations were almost identical as regards age and length of employment. The number of miners working in bad conditions in the "A" mine was twice as great as that of miners working in bad conditions in the "B" mine. In dust collected on work--stands in the "A" mine the amount of copper, chromium and vanadium was 3 times that in the "B" mine and in the "A" mine approximately 40% more nickel was found in the dust than in the "B" mine. Average dust concentration on work stands was 10 times greater in the "B" mine than in the "A" mine. The rate of pneumoconiosis was on average 3.7% in both populations, in the "A" mine--6.2% and in the "B" mine--0.8%. In currently working miners no nodular changes, like PMF, were found. The rate of pneumoconiosis significantly varied with the length of employment. In 71.7% miners changes in EKG were found, in the "B" mine the number of those with changes being about 10% greater than in those in the "A" mine. In miners from the "A" mine, mostly changes in conduction (17.1%) were found; in the "B" mine these changes were twice less frequent.

摘要

在两座煤矿中,一座是位于下西里西亚的“A”矿,煤层低且倾斜,产出机械化程度较低;另一座是位于西里西亚 - 达布罗瓦盆地的“B”矿,煤层高且产出机械化程度高。对这两座煤矿的工作条件(粉尘浓度、粉尘化学成分和小气候)进行了检查,并对地下矿工进行了医学检查。检查对象包括:“A”矿2094名矿工,“B”矿1846名矿工。这两个受检群体在年龄和工作年限方面几乎相同。在“A”矿中处于恶劣工作条件下的矿工人数是“B”矿中处于恶劣工作条件下矿工人数的两倍。在“A”矿工作台上收集的粉尘中,铜、铬和钒的含量是“B”矿的3倍,且“A”矿粉尘中的镍含量比“B”矿大约多40%。“B”矿工作台上的平均粉尘浓度比“A”矿高10倍。两个群体中尘肺病的平均发病率为3.7%,“A”矿为6.2%,“B”矿为0.8%。在目前仍在工作的矿工中未发现像进行性大块纤维化(PMF)这样的结节性变化。尘肺病发病率随工作年限显著变化。71.7%的矿工心电图有变化,“B”矿中有变化的人数比“A”矿中的多约10%。在“A”矿的矿工中,大多发现传导方面的变化(17.1%);在“B”矿中,这些变化的频率低两倍。

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