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通过呼气分析同时测定PCO2在监测1,1,1 - 三氯乙烷暴露中的价值。

Value of the simultaneous determination of PCO2 in monitoring exposure to 1,1,1-trichloroethane by breath analysis.

作者信息

Guillemin M, Gubéran E

出版信息

Br J Ind Med. 1982 May;39(2):161-8. doi: 10.1136/oem.39.2.161.

Abstract

Eight volunteers were exposed for eight hours to about 200 ppm of 1,1,1-trichloroethane. On the next morning five series of five alveolar samples were collected for the simultaneous determination of PCO2 and 1,1,1-trichloroethane concentration. Three different methods of sampling were used: voluntary hyperventilation, 10-s breathholding, and "standard." A linear relationship between the alveolar concentrations of both gases was observed in all subjects. Expired air was also collected in two subjects and an analogous relationship was observed. Also the Bohr dead space was found to be of similar size for CO2 and for 1,1,1-trichloroethane. In the monitoring of solvent exposure by breath analysis it is suggested that the results should be corrected for hyperventilation or hypoventilation and for dilution of alveolar air with dead space air by a proportional adjustment of the solvent concentration at the mean normal adveolar PCO2 or by disregarding the samples with a PCO2 outside normal range. The PCO2 determination in 40 unselected workers has shown that in more than a third of them, to monitor exposure by breath analysis would have been of little meaning without such an adjustment or rejection criteria.

摘要

八名志愿者暴露于约200 ppm的1,1,1 - 三氯乙烷中八小时。次日早晨,采集了五组每组五个肺泡样本,用于同时测定PCO2和1,1,1 - 三氯乙烷浓度。使用了三种不同的采样方法:自主过度通气、屏气10秒和“标准”方法。在所有受试者中均观察到两种气体的肺泡浓度之间存在线性关系。还收集了两名受试者的呼出气体,观察到类似的关系。此外,发现二氧化碳和1,1,1 - 三氯乙烷的 Bohr 死腔大小相似。在通过呼气分析监测溶剂暴露时,建议应通过在平均正常肺泡PCO2时按比例调整溶剂浓度,或排除PCO2超出正常范围的样本,对过度通气或通气不足以及肺泡气与死腔气的稀释进行校正。对40名未经过挑选的工人进行的PCO2测定表明,其中超过三分之一的人,如果没有这种校正或排除标准,通过呼气分析监测暴露几乎没有意义。

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