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[接触氯乙烯和二氯乙烷工人的生化指标变化]

[Changes in the biochemical indices of workers exposed to vinyl chloride and dichloroethane].

作者信息

Spasovski M, Stanchev S, Nosko M, Zlatev Z, Popov T

出版信息

Probl Khig. 1984;9:50-8.

PMID:6483828
Abstract

Complex laboratory investigations were carried out to 280 workers from a plant, exposed to vinylchloride and dichlorethane. Some hematological indices were followed up (hemoglobin, erythrocytes, leukocytes and platelets) and liver function (GGTP, GOT, GPT, AP, OCP and blood glutathione). Again GGTP and blood platelets significance was confirmed as a diagnostic sign of VCh disease. The inhibitory effect of VCh upon the OCP in the workers exposed is confirmed for the first time. OCP is proposed to be included in Instruction 099. A new case of VCh disease was diagnosed, where the combined effect of VCh and dichlorethane is admitted.

摘要

对某工厂280名接触氯乙烯和二氯乙烷的工人进行了复杂的实验室检查。对一些血液学指标(血红蛋白、红细胞、白细胞和血小板)以及肝功能指标(γ-谷氨酰转肽酶、谷草转氨酶、谷丙转氨酶、碱性磷酸酶、血清胆碱酯酶和血谷胱甘肽)进行了跟踪监测。再次证实γ-谷氨酰转肽酶和血小板的变化作为氯乙烯病的诊断指标具有重要意义。首次证实了氯乙烯对接触工人血清胆碱酯酶的抑制作用。建议将血清胆碱酯酶纳入第099号指令。诊断出一例新的氯乙烯病病例,该病例承认存在氯乙烯和二氯乙烷的联合作用。

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