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农药性肺:对水果种植者和农民在喷洒季节的一项初步调查。

Pesticide lung: a pilot investigation of fruit-growers and farmers during the spraying season.

作者信息

Lings S

出版信息

Br J Ind Med. 1982 Nov;39(4):370-6. doi: 10.1136/oem.39.4.370.

Abstract

A fruit-grower with large, atypical lung infiltrations and lung fibrosis triggered off an investigation of fruit-growers during the spraying season. An interview was carried out together with a Wright peak flow meter test and an x-ray examination of the chest. No fewer than 156 spray preparations were used by the group; individual fruit-growers used between three and 27. In connection with spraying, 41% of subjects had one or other type of symptom; peak flow was reduced in 19% and x-ray changes were seen in 24%. A questionnaire was returned by 132 of 235 farmers. Of these, 60 had worked with biocides, 72 had not. A non-significant higher frequency of symptoms was found among those who used biocides. The results would indicate that biocides (or "pesticides") can give rise to a lung disease, "biocide lung," which comprises (1) pneumonia, radiologically demonstrable by more or less transient round infiltrations and (2) chronic progressive lung fibrosis.

摘要

一位肺部出现大面积非典型浸润和肺纤维化的果农引发了在喷洒季节对果农的调查。调查过程中进行了访谈,并使用赖特峰值流量计进行测试以及胸部X光检查。该群体使用的喷雾制剂多达156种;单个果农使用的喷雾制剂种类在3种至27种之间。在喷洒过程中,41%的受试者出现了一种或另一种症状;19%的受试者峰值流量降低,24%的受试者X光检查有变化。235名农民中有132人回复了问卷。其中,60人使用过杀生物剂,72人未使用过。在使用杀生物剂的人群中发现症状出现频率略高,但差异不显著。结果表明,杀生物剂(或“农药”)可引发一种肺部疾病,即“杀生物剂肺”,其包括(1)肺炎,通过或多或少短暂的圆形浸润在放射学上可显示,以及(2)慢性进行性肺纤维化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba6/1009068/e4899c98af5c/brjindmed00060-0059-a.jpg

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