Flodin U, Edling C, Axelson O
Am J Ind Med. 1984;5(4):287-95. doi: 10.1002/ajim.4700050405.
Exposure to organic solvents is common in industry. In Sweden, patients being evaluated for suspected solvent-related diseases now constitute the largest group of patients seen at many clinics of occupational medicine, largely replacing classical occupational disorders. The findings in 128 consecutive patients with solvent exposure have been reviewed for the period 1978-1981. The duration of exposure was 9 years or more for those with a diagnosis of psychoorganic syndrome (POS). "Incipient" POS was seen after a minimum exposure of 3 years duration. Patients with POS also had an increased frequency of polyneuropathy in comparison to those without any signs of POS. It was not possible to link these abnormalities with particular solvent exposure. Clinical chemistry tests were normal except for liver function tests in a few patients.
在工业中,接触有机溶剂很常见。在瑞典,因疑似与溶剂相关疾病而接受评估的患者,如今在许多职业医学诊所中占就诊患者的最大群体,在很大程度上取代了传统的职业性疾病。对1978年至1981年期间连续就诊的128例有溶剂接触史的患者的检查结果进行了回顾。被诊断为精神器质性综合征(POS)的患者,其接触时长为9年或更长时间。接触至少3年后出现“初期”POS。与没有任何POS迹象的患者相比,患有POS的患者出现多发性神经病的频率也更高。无法将这些异常情况与特定的溶剂接触联系起来。除少数患者的肝功能检查外,临床化学检查均正常。