Hiett D M
Br J Ind Med. 1978 May;35(2):135-45. doi: 10.1136/oem.35.2.135.
ABSTRACT Long-term studies of respiratory function and lung morphology were carried out on control groups of guinea pigs and matched groups exposed by inhalation to asbestos dust. Animals were exposed to aerosols of chrysotile or amosite asbestos containing large numbers of short fibres, for either 9 or 18 days. Resistance and dynamic compliance of the guinea pig respiratory system were measured non-destructively, while the point counting technique was applied to the histological preparations. Under these exposure conditions the extent of pathological and functional changes were not related to differences in duration of exposure. Such changes were more marked, however, in animals exposed at eight rather than three months of age. The measurement of dynamic compliance provided the most sensitive assessment of the functional disturbances, which were more extensive following chrysotile exposure. Progressive peribronchiolar fibrosis developed about 40 weeks after chrysotile exposure at eight months of age, but not until about 70 weeks for animals exposed when three months old. No fibrotic reaction was seen during the 70 weeks of the amosite experiments. The relationships between pathological and functional changes throughout these experiments are discussed, and explanations for the apparent differences in fibrogenicity between chrysotile and amosite are suggested. Early detection of asbestosis may be aided by use of lung function tests known to be sensitive to small airways disease.
摘要 对豚鼠对照组以及通过吸入石棉粉尘进行匹配的组进行了呼吸功能和肺形态的长期研究。动物暴露于含有大量短纤维的温石棉或铁石棉气溶胶中,为期9天或18天。采用无损方法测量豚鼠呼吸系统的阻力和动态顺应性,同时将点计数技术应用于组织学标本。在这些暴露条件下,病理和功能变化的程度与暴露持续时间的差异无关。然而,在8个月而非3个月大时暴露的动物中,此类变化更为明显。动态顺应性的测量对功能障碍提供了最敏感的评估,温石棉暴露后功能障碍更为广泛。8个月大时暴露于温石棉的动物,约40周后出现进行性细支气管周围纤维化,但3个月大时暴露的动物直到约70周才出现。在铁石棉实验的70周期间未观察到纤维化反应。讨论了整个实验中病理和功能变化之间的关系,并提出了温石棉和铁石棉在致纤维化性方面明显差异的解释。已知对小气道疾病敏感的肺功能测试可能有助于石棉沉着病的早期检测。