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[在缺乏既往史数据的情况下,对一例由硅酸盐和煤尘导致的混合性尘肺病病例的病因学定义]

[An etiological definition of a case of mixed pneumoconiosis due to silicates and coal in the absence of anamnestic data].

作者信息

Bellis D, Belluso E, Burlo P, Ferraris G, Fubini B, Volante M, Bolis V, Mollo F

机构信息

Dipartimento di Scienze Biomediche e Oncologia Umana, Università di Torino.

出版信息

Med Lav. 1994 Mar-Apr;85(2):122-33.

PMID:8072440
Abstract

A case of pneumoconiosis with unknown occupational history was examined both pathologically and mineralogically by means of a variety of techniques, including analytical scanning and transmission electron microscopy with electron diffraction and energy dispersive x-ray analysis, and electron resonance spectroscopy. The pathologic features consisted of a diffuse interstitial fibrosis with deposits of amorphous and crystalline particles and granulomatous reaction. The identification of minerals, mainly talc, halloysite, coal and chlorite, allowed a definite diagnosis of mixed silicate pneumoconiosis to be made. This is an example of complete pathologic, mineralogic and physico-chemical analysis of a case of pneumoconiosis.

摘要

对一例职业病史不明的尘肺病患者进行了病理和矿物学检查,采用了多种技术,包括带电子衍射和能量色散X射线分析的分析扫描和透射电子显微镜以及电子共振光谱法。病理特征包括弥漫性间质纤维化,伴有无定形和结晶颗粒沉积以及肉芽肿反应。对主要为滑石、埃洛石、煤和绿泥石的矿物进行鉴定后,得以明确诊断为混合性硅酸盐尘肺病。这是对一例尘肺病病例进行完整病理、矿物学和物理化学分析的一个实例。

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