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挪威氯碱行业接触汞蒸气工人的癌症发病率和死亡率。

Incidence of cancer and mortality among workers exposed to mercury vapour in the Norwegian chloralkali industry.

作者信息

Ellingsen D G, Andersen A, Nordhagen H P, Efskind J, Kjuus H

机构信息

Department of Occupational Medicine, Telemark Central Hospital, Porsgrunn, Norway.

出版信息

Br J Ind Med. 1993 Oct;50(10):875-80. doi: 10.1136/oem.50.10.875.

Abstract

Incidence of cancer and mortality were studied among 674 men exposed to mercury vapour for more than one year at two chloralkali plants. Mercury excretion in urine had been monitored among the workers at the two plants since 1948 and 1949. An individual cumulative urinary mercury dose was calculated, based on about 20,000 urinary mercury measurements. The incidence of cancer and the mortality were followed up from 1953 to 1989 and 1953 to 1988 respectively. The general Norwegian male population served as a reference population. There was a lung cancer excess of borderline significance (standardised incidence ratio = 1.66, 95% confidence interval = 1.00-2.59). The introduction of a 10 year latent period before developing lung cancer did not increase the incidence ratio. The excess may be partly explained by the smoking habits in the cohort or possibly by exposure to asbestos. No excess of cancer was found in the target organs for mercury toxicity--namely, the kidney and the nervous system. No significant excess mortality was found for nephritis and nephrosis or nonmalignant diseases of the nervous system.

摘要

对两家氯碱厂中674名接触汞蒸气超过一年的男性的癌症发病率和死亡率进行了研究。自1948年和1949年以来,一直在监测这两家工厂工人的尿汞排泄情况。根据约20000次尿汞测量结果,计算了个体累积尿汞剂量。分别对1953年至1989年以及1953年至1988年的癌症发病率和死亡率进行了随访。挪威男性总人口作为参考人群。肺癌发病率略有超标(标准化发病率比=1.66,95%置信区间=1.00 - 2.59)。引入肺癌发病前10年的潜伏期并未增加发病率比。这种超标现象可能部分归因于该队列中的吸烟习惯,也可能是由于接触石棉。在汞中毒的靶器官——即肾脏和神经系统中,未发现癌症超标。在肾炎、肾病或神经系统非恶性疾病方面,未发现显著的死亡率超标。

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