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长期接触三氯苯酚后的肺功能

Pulmonary function after long-term exposure to trichlorophenol.

作者信息

Alexandersson R, Hedenstierna G

出版信息

Int Arch Occup Environ Health. 1982 Feb;49(3-4):275-80. doi: 10.1007/BF00377936.

DOI:10.1007/BF00377936
PMID:7068239
Abstract

Symptoms and pulmonary function were evaluated in subjects exposed to trichlorophenol. Symptoms from upper airways and chest were more common among those exposed than in control subjects (60% and 10%, respectively) Significantly reduced forced expired flow at 75% of vital capacity [exposed: 5.721/s (5.08-6.85), mean and range; reference: 6.451/s (5.77-8.40), P less than 0.05] and increased closing volume [exposed: 25.2% (19.5-36.0), reference: 17.1% (12.0-23.5), P less than 0.01] were measured while other spirometric variables and the transfer factor of the lung for CO were normal. Increased elastic recoil pressure of the lung and signs of lung tissue engagement in X ray were noticed in two subjects. Blood and liver tests were normal. The findings suggest an irritating effect on the lung by trichlorophenol, and it cannot be excluded that long-term exposure may produce pulmonary fibrosis.

摘要

对接触三氯苯酚的受试者的症状和肺功能进行了评估。与对照组相比,接触者上呼吸道和胸部症状更为常见(分别为60%和10%)。肺活量75%时用力呼气流量显著降低[接触组:5.72升/秒(5.08 - 6.85),均值和范围;参照组:6.45升/秒(5.77 - 8.40),P<0.05],闭合气量增加[接触组:25.2%(19.5 - 36.0),参照组:17.1%(12.0 - 23.5),P<0.01],而其他肺量计变量和肺一氧化碳转运因子正常。两名受试者出现肺弹性回缩压升高和X线显示的肺组织受累迹象。血液和肝脏检查正常。这些发现提示三氯苯酚对肺有刺激作用,不能排除长期接触可能导致肺纤维化。

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本文引用的文献

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Pleural plaques and lung function in construction workers exposed to asbestos.接触石棉的建筑工人的胸膜斑与肺功能
Eur J Respir Dis. 1981;62(2):111-22.
2
Pulmonary mechanics in normal men, studied with the flow regulator method.采用流量调节法对正常男性的肺力学进行研究。
Scand J Clin Lab Invest. 1970 Jun;25(4):363-73. doi: 10.3109/00365517009046217.
3
Early effects of asbestos exposure on lung function.石棉暴露对肺功能的早期影响。
Am Rev Respir Dis. 1971 Oct;104(4):525-35. doi: 10.1164/arrd.1971.104.4.525.
4
Normal standards for ventilatory function using an automated wedge spirometer.使用自动楔形肺活量计的通气功能正常标准。
Am Rev Respir Dis. 1972 Jul;106(1):38-46. doi: 10.1164/arrd.1972.106.1.38.
5
Measurement of "closing volume" as a simple and sensitive test for early detection of small airway disease.测量“闭合容积”作为早期检测小气道疾病的一种简单而敏感的测试方法。
Am J Med. 1972 Jun;52(6):747-53. doi: 10.1016/0002-9343(72)90080-0.
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Obstruction in small airways--a challenge to medicine.
Am J Med. 1972 Jun;52(6):721-4. doi: 10.1016/0002-9343(72)90077-0.
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Predicted values for closing volumes using a modified single breath nitrogen test.使用改良单次呼吸氮试验得出的闭合气量预测值。
Am Rev Respir Dis. 1973 May;107(5):744-52. doi: 10.1164/arrd.1973.107.5.744.
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Ability of spirometry, flow-volume curves and the nitrogen closing volume test to detect smokers. A population study.肺活量测定、流量-容积曲线及氮闭合容积试验检测吸烟者的能力。一项人群研究。
Scand J Respir Dis. 1977 Apr;58(2):80-96.