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多氯联苯在产后从暴露的母亲体内转移至其婴儿体内:母乳喂养的影响。

Postnatal transfer of PCBs from exposed mothers to their babies: influence of breast-feeding.

作者信息

Yakushiji T, Watanabe I, Kuwabara K, Tanaka R, Kashimoto T, Kunita N, Hara I

出版信息

Arch Environ Health. 1984 Sep-Oct;39(5):368-75. doi: 10.1080/00039896.1984.10545866.

Abstract

Polychlorinated biphenyl (PCB) concentrations in the blood of mothers who were occupationally exposed to PCBs in a capacitor manufacturing facility, and their children, were analyzed from 1975 to 1979. The factory terminated PCB use in 1972, and environmental PCBs were eliminated artificially. Despite this, blood PCB levels of the mothers were very high, i.e., 10-100 times higher than that of non-occupationally exposed persons. In a previous report, we discussed the relationship between breast-feeding and PCB levels in the blood. This relationship is confirmed further by the present investigation which continued during a 5-yr period. The PCB levels in blood of children were influenced greatly by the duration of breast-feeding, but showed little relationship to the PCB levels in maternal blood. The PCB exposure period of the mothers, time of birth, and age of the children were less clearly related to the PCB levels in the children. The PCB concentration in the children's blood decreased at a constant rate and was independent of their blood PCB levels. A similar result was noted for their mothers' PCB levels. A slight difference, however, was found in the rate of decrease of blood PCB levels between the mothers and children. The results of questionnaire research on the health conditions and the medical examinations for the children showed that frequency of complaints, e.g., red eye, fever, itchy skin, and carious teeth, related favorably to the duration of breast-feeding. Less severe findings, i.e., decay of nails, pigmentation, mottled enamel, carious teeth, which were typical symptoms in yusho patients, were observed in some children. They were not, however, diagnosed as having PCB poisoning inasmuch as medical treatments were unnecessary.

摘要

1975年至1979年期间,对在一家电容器制造工厂职业性接触多氯联苯(PCB)的母亲及其子女血液中的PCB浓度进行了分析。该工厂于1972年停止使用PCB,环境中的PCB也被人为清除。尽管如此,母亲们血液中的PCB水平仍然非常高,即比非职业性接触者高出10至100倍。在之前的一份报告中,我们讨论了母乳喂养与血液中PCB水平之间的关系。本次为期5年的调查进一步证实了这种关系。儿童血液中的PCB水平受母乳喂养持续时间的影响很大,但与母亲血液中的PCB水平关系不大。母亲的PCB接触期、孩子的出生时间和年龄与孩子血液中的PCB水平关系不太明显。儿童血液中的PCB浓度以恒定速率下降,且与他们血液中的PCB水平无关。母亲的PCB水平也有类似结果。然而,母亲和孩子血液中PCB水平下降的速率存在细微差异。对儿童健康状况的问卷调查结果和体检结果显示,诸如红眼、发烧、皮肤瘙痒和龋齿等投诉频率与母乳喂养持续时间密切相关。在一些儿童中观察到了不太严重的症状,即指甲腐烂、色素沉着、釉质斑驳、龋齿,这些是油症患者的典型症状。然而,由于无需治疗,他们未被诊断为患有PCB中毒。

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