Am Fam Physician. 1993 Sep 1;48(3):483-91.
Because many environmental diseases either manifest as common medical problems or have nonspecific symptoms, an exposure history is vital for correct diagnosis. The primary care physician can--by obtaining a thorough exposure history--play an important role in detecting, treating and preventing diseases caused by toxic exposure. The exposure history consists of three parts: exposure survey, which includes information about current and past exposure, and health and safety practices at work; work history, including all past jobs and military service; and environmental history, which includes information about the home environment.
由于许多环境疾病要么表现为常见的医学问题,要么具有非特异性症状,因此暴露史对于正确诊断至关重要。初级保健医生通过获取详尽的暴露史,在检测、治疗和预防由有毒暴露引起的疾病方面可以发挥重要作用。暴露史包括三个部分:暴露调查,其中包括有关当前和过去暴露的信息以及工作中的健康与安全措施;工作经历,包括所有过去的工作和兵役;以及环境史,其中包括有关家庭环境的信息。