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一家生产含松香药芯焊锡的工厂中的职业性哮喘。

Occupational asthma in a factory making flux-cored solder containing colophony.

作者信息

Burge P S, Edge G, Hawkins R, White V, Taylor A J

出版信息

Thorax. 1981 Nov;36(11):828-34. doi: 10.1136/thx.36.11.828.

Abstract

The prevalence of work-related wheeze and breathlessness was measured in factory employees manufacturing flux-cored solder. The flux contained colophony which was heated in the production process, exposing the workers to colophony fumes. Measurement of colophony in the breathing zone defined three grades of exposure with median levels of 1.92 mg/m3 (six subjects), 0.02 mg/m3 (14 subjects), and less than 0.01 mg/m3 (68 subjects). All but two workers in the first two groups, and 90% of a random sample of the last group, were studied. Occupational asthma was present in 21% of the higher two exposure groups and 4% of the lowest exposure group. Mean values of FEV1 and FVC fell with increasing exposure. The prevalence of upper and lower respiratory symptoms was only one-third to a half that found in a previous study of shop floor electronics workers, whose work raised the flux to a higher temperature and produced higher concentrations of colophony fume. Total IgM levels were higher in the solder manufacturers than in unexposed controls, and were higher still in the electronics workers. The solder manufacturers were exposed to colophony fumes at 140 degrees C, below the temperature at which the resin acids decompose, supporting the hypothesis that it is the whole resin acids rather than decomposition products which cause occupational asthma. The threshold limit value should be based on the resin acid content of the fume, and not the aldehyde content as at present. The survey suggests that sensitisation will not be prevented unless exposure is kept well below the present threshold limit value.

摘要

对生产药芯焊料的工厂员工中与工作相关的喘息和呼吸急促患病率进行了测量。焊剂中含有松香,在生产过程中松香被加热,使工人暴露于松香烟雾中。对呼吸带中的松香进行测量,确定了三个暴露等级,中位数水平分别为1.92毫克/立方米(6名受试者)、0.02毫克/立方米(14名受试者)和低于0.01毫克/立方米(68名受试者)。对前两组中除两名工人外的所有工人以及最后一组的90%随机样本进行了研究。在较高的两个暴露组中,职业性哮喘的患病率为21%,在最低暴露组中为4%。FEV1和FVC的平均值随着暴露程度的增加而下降。上、下呼吸道症状的患病率仅为先前对车间电子工人研究中发现患病率的三分之一到一半,车间电子工人的工作会将焊剂加热到更高温度并产生更高浓度的松香烟雾。焊料制造商的总IgM水平高于未暴露的对照组,电子工人的总IgM水平更高。焊料制造商暴露于140摄氏度的松香烟雾中,该温度低于树脂酸分解的温度,这支持了导致职业性哮喘的是整个树脂酸而非分解产物这一假设。阈限值应基于烟雾中的树脂酸含量,而不是目前的醛含量。该调查表明,除非将暴露水平保持在远低于目前的阈限值,否则无法预防致敏。

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