Burge P S, Richardson M N
Occupational Lung Disease Unit, Birmingham Heartlands Hospital, UK.
Thorax. 1994 Aug;49(8):842-3. doi: 10.1136/thx.49.8.842.
The case is described of a 44 year old pharmacist who developed severe occupational asthma threatening his continued employment, confirmed by serial measurement of peak expiratory flow at home and work. The cause was found to be the cleaning agent used in his office when it was unoccupied. Bronchial challenge testing identified the specific agent to which he was sensitised as lauryl dimethyl benzyl ammonium chloride, a constituent of the floor cleaner. Substitution of this floor cleaner by a simple detergent cleaner led to a substantial improvement in his asthma, confirmed by repeated serial peak flow measurements.
本文描述了一名44岁药剂师的病例，他患上了严重的职业性哮喘，这威胁到他的持续工作，通过在家和工作场所连续测量呼气峰值流速得以确诊。病因是他办公室在无人占用时使用的清洁剂。支气管激发试验确定他对其敏感的特定物质为月桂基二甲基苄基氯化铵，这是地板清洁剂的一种成分。用一种简单的洗涤剂清洁剂替代这种地板清洁剂后，他的哮喘病情有了显著改善，这通过反复连续测量峰值流速得以证实。
