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[波兰生产工厂职业性吸入氯乙烯暴露相关健康风险的定量评估]

[Quantitative evaluation of health risk associated with occupational inhalation exposure to vinyl chloride at production plants in Poland].

作者信息

Szymczak W

机构信息

Zakładu Epidemiologii Srodowiskowej Instytutu Medycyny Pracy, Lodzi.

出版信息

Med Pr. 1997;48(2):153-9.

PMID:9273438
Abstract

Vinyl chloride is classified by the IARC in group 1-human carcinogens. In Poland occupational exposure to vinyl chloride is found among workers employed in many branches of industry, among others in the industry of vinyl chloride synthesis and polymerization as well as in the plastics, footwear, rubber, pharmaceutical and metallurgical industries. Concentrations observed range from the noon-determinable level to 90 mg/m3, at the MAC value equal to 5 mg/m3. Neoplasm of liver is a major carcinogenic effect of vinyl chloride. Hence, the health assessment focused on this critical risk. Four different linear dose-response models, developed by several authors and based on results of different epidemiological studies, were used to characterise the extent of cancer risk depending on the level of vinyl chloride concentrations. The estimated risk related to a forty-year employment under exposure equal to MAC values (5 mg/m3) fell within the range from 2.9.10(-4) to 2.6.10(-3). As the figures depict it did not exceed the acceptable level (10(-3)).

摘要

国际癌症研究机构(IARC)将氯乙烯归类为第1组人类致癌物。在波兰,许多行业的工人都存在职业性接触氯乙烯的情况,其中包括氯乙烯合成与聚合行业以及塑料、鞋类、橡胶、制药和冶金行业。观察到的浓度范围从可在中午测定的水平到90毫克/立方米,而职业接触限值(MAC)值为5毫克/立方米。肝癌是氯乙烯的主要致癌效应。因此,健康评估聚焦于这一关键风险。几位作者基于不同流行病学研究结果开发了四种不同的线性剂量反应模型,用于根据氯乙烯浓度水平来描述癌症风险程度。估计在接触水平等于职业接触限值(5毫克/立方米)的情况下工作40年所产生的风险在2.9×10⁻⁴至2.6×10⁻³范围内。如图所示,该风险未超过可接受水平(10⁻³)。

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