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慢性三氯乙烯中毒时的诱发三叉神经电位

Evoked trigeminal nerve potential in chronic trichloroethylene intoxication.

作者信息

Barret L, Arsac P, Vincent M, Faure J, Garrel S, Reymond F

出版信息

J Toxicol Clin Toxicol. 1982 Jun;19(4):419-23. doi: 10.3109/15563658208992496.

DOI:10.3109/15563658208992496
PMID:7143527
Abstract

Results of a study of trigeminal nerve impairment resulting from trichloroethylene intoxication by the somatosensory-evoked potential method reveal three kinds of abnormalities: increased stimulation voltage, excessive latency delay with morphological abnormalities, and excessive graph amplitude. These abnormalities confirm clinical disturbance (hypesthesia of the trigeminal nerve area) and open debate about the real mechanism of trichloroethylene neurotoxicity. Industrial intoxication by solvents, particularly trichloroethylene, is common. We have conducted a study of 188 workers chronically exposed to trichloroethylene and have confirmed the selective neurological disturbances of this intoxication in the trigeminal nerve (20%) [3, 10]. We utilized a new experimental method, developed for studies of chronic intoxications effecting the median nerve [5, 8], of recording the somatosensory evoked potential following stimulation of the trigeminal nerve [4, 6, 7]. The workers in this study were selected following clinical evaluation of their facial sensitivity and trigeminal nerve reflexes. In this paper we present our preliminary results on 11 workers, 9 suffering effects of intoxication and 2 controls.

摘要

一项运用体感诱发电位法研究三氯乙烯中毒导致三叉神经损伤的结果显示出三种异常情况

刺激电压升高、潜伏期过度延长且伴有形态异常、图形波幅过高。这些异常证实了临床症状(三叉神经区域感觉减退),并引发了关于三氯乙烯神经毒性真正机制的讨论。溶剂中毒,尤其是三氯乙烯中毒,在工业领域很常见。我们对188名长期接触三氯乙烯的工人进行了研究,证实了这种中毒在三叉神经方面存在选择性神经功能障碍(20%)[3, 10]。我们采用了一种新的实验方法,该方法是为研究影响正中神经的慢性中毒而开发的[5, 8],用于记录刺激三叉神经后的体感诱发电位[4, 6, 7]。本研究中的工人是在对其面部敏感性和三叉神经反射进行临床评估后挑选出来的。在本文中,我们展示了对11名工人的初步研究结果,其中9名受中毒影响,2名作为对照。

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Evoked trigeminal nerve potential in chronic trichloroethylene intoxication.慢性三氯乙烯中毒时的诱发三叉神经电位
J Toxicol Clin Toxicol. 1982 Jun;19(4):419-23. doi: 10.3109/15563658208992496.
2
[Value of the study of trigeminal nerve evoked potentials in chronic trichloroethylene poisoning. Preliminary results].[三叉神经诱发电位研究在慢性三氯乙烯中毒中的价值。初步结果]
Toxicol Eur Res. 1982 May;4(3):159-62.
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[Trigeminal somatosensory evoked potentials in workers handling trichloroethylene].[接触三氯乙烯工人的三叉神经体感诱发电位]
Neurophysiol Clin. 1991 May;21(2):95-103. doi: 10.1016/s0987-7053(05)80064-4.
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[Somatosensory evoked potentials of the trigeminal nerve in chronic trichloroethylene poisoning].[慢性三氯乙烯中毒时三叉神经体感诱发电位]
Rev Electroencephalogr Neurophysiol Clin. 1986 Jul;16(2):133-9. doi: 10.1016/s0370-4475(86)80005-3.
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Chronic trichloroethylene intoxication: a new approach by trigeminal-evoked potentials?慢性三氯乙烯中毒:三叉神经诱发电位的一种新方法?
Arch Environ Health. 1987 Sep-Oct;42(5):297-302. doi: 10.1080/00039896.1987.9935824.
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Dichloroacetylene: effects on the rat trigeminal nerve somatosensory evoked potential.二氯乙炔:对大鼠三叉神经体感诱发电位的影响
Neurotoxicol Teratol. 1997 Jan-Feb;19(1):27-37. doi: 10.1016/s0892-0362(96)00182-1.
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Trigeminal somatosensory evoked potentials in trichloroethylene-exposed workers.三氯乙烯暴露工人的三叉神经体感诱发电位
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Int J Toxicol. 2006 Nov-Dec;25(6):531-40. doi: 10.1080/10915810600972678.
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[Evoked somatosensory potentials of the trigeminal nerve in man--initial results].[人类三叉神经的诱发体感诱发电位——初步结果]
Rev Electroencephalogr Neurophysiol Clin. 1982 Aug;12(2):129-34. doi: 10.1016/s0370-4475(82)80036-1.
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Acute intoxication of trichloroethylene with complete recovery: a case report.三氯乙烯急性中毒且完全康复:一例报告
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引用本文的文献

1
Trichloroethylene occupational exposure: elements for better prevention.
Int Arch Occup Environ Health. 1984;53(4):283-9. doi: 10.1007/BF00380666.