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[顿涅茨盆地深部煤矿矿工热致病变的临床表现]

[The clinical manifestations of heat-induced lesions in miners in the deep coal mines of the Donets Basin].

作者信息

Valutsina V M, Tkachenko L N, Nikolenko V Iu, Kaniuka S B, Ladariia E G, Raksha-Sliusareva E A, Aslanova E A, Voĭnar R A

出版信息

Lik Sprava. 1996 Jan-Feb(1-2):152-6.

PMID:9005080
Abstract

Heat-induced lesions in miners are characterized by syndrome of vegetovascular dysfunction presenting with a damage to the segmental and suprasegmental structures of the vegetative nervous system, worsening of the bodily heat status, decrement of physical performance. A distinguishing feature of vegetovascular dystonia in acute overheating is activation of sympathicus, while in chronic one that of parasympathicus. By patterns of function disorders and degree of their restoration acute overheating can be categorized into the following forms-mild, moderately severe and severe ones. In chronic overheating distinct syndromes are recognized depending upon the particular course of vegetovascular dysfunction, viz., permanent course vegetovascular dystonia, permanent paroxysmal one presenting with varying trend vegetative crises, apparent persistent bradycardia and syndrome of weakness of sinoatrial node. Acute overheating is more commonly seen in those miners with as yet little service duration while chronic overheating occurs more frequently in those persons with more than 8-year record of service in conditions of heating microclimate.

摘要

矿工热致损伤的特征是植物血管功能障碍综合征,表现为植物神经系统节段性和节段以上结构受损、身体热状态恶化、体能下降。急性过热时植物血管张力障碍的一个显著特征是交感神经激活,而慢性过热时则是副交感神经激活。根据功能障碍模式及其恢复程度,急性过热可分为轻度、中度严重和重度等形式。在慢性过热中,根据植物血管功能障碍的具体病程可识别出不同综合征,即持续性植物血管张力障碍病程、伴有不同趋势植物神经危象的持续性阵发性病程、明显持续性心动过缓和窦房结功能不全综合征。急性过热在工作年限较短的矿工中更为常见,而慢性过热在加热微气候条件下工作年限超过8年的人群中更为频繁发生。

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