Corzo G, Naveda R
Instituto de Medicina del Trabajo e Higiene Industrial, Facultad de Medicina, Universidad del Zulia, Maracaibo, Venezuela.
Invest Clin. 1998 Sep;39(3):163-73.
A medical occupational study was performed in 40 workers belonging to productive units in telecommunication works, 22 to car radiator mechanics and 11 to battery repairs. A practical medical and occupational study was applied to the group and also were determined their blood lead and air lead exposure levels. Seventy-three individuals, without risk of laboral exposure to lead, without familiar, pathological and occupational antecedents, and healthy at the time of the test, to whom the blood lead levels were determined served as control group. The mean values of plumbemia in exposure workers to inorganic lead exceed the level threshold of the COVENIN 2277-85 norm (30 micrograms/dl) (Telecommunication work, 40.10 micrograms/dl, radiators mechanics, 37.40 micrograms/dl and battery repairs, 45.77 micrograms/dl), values that were significantly higher (p < 0.0001) compared with the ones obtained in the non-exposed population. The factors that can influence the variability of the results were analyzed and it was established a correlation between the plumbemia of the radiator mechanics and battery repairmen and the length of occupational period and air lead levels (p < 0.0001). The inherent factors to the climatic, occupational and personal conditions of technicians in telecommunications, are presented as elements able to explain the lack of correlation between blood lead levels and length of occupational period and air lead. The clinical findings in exposed workers were unspecific. The workers do not practice or follow the basic sanitary regulations, personal protection and industrial security. This work will contribute to establish a basic description, to further and more complex observational prospective studies in order to determine the occurrence of alterations that are derived from occupational lead exposure.
对40名电信行业生产单位的工人、22名汽车散热器修理工和11名电池修理工进行了医学职业研究。对该组进行了实际的医学和职业研究,并测定了他们的血铅和空气铅暴露水平。73名在测试时无职业铅暴露风险、无家族病史、病理和职业史且健康的个体,测定了他们的血铅水平,作为对照组。无机铅暴露工人的血铅平均值超过了COVENIN 2277 - 85标准的阈值水平(30微克/分升)(电信工作,40.10微克/分升;散热器修理工,37.40微克/分升;电池修理工,45.77微克/分升),与未暴露人群获得的值相比,这些值显著更高(p < 0.0001)。分析了可能影响结果变异性的因素,并确定了散热器修理工和电池修理工的血铅与职业年限和空气铅水平之间的相关性(p < 0.0001)。电信技术人员的气候、职业和个人条件等内在因素,被认为是能够解释血铅水平与职业年限和空气铅之间缺乏相关性的因素。暴露工人的临床发现不具有特异性。工人们不执行或遵循基本的卫生规定、个人防护和工业安全措施。这项工作将有助于建立一个基本描述,以便进行进一步更复杂的观察性前瞻性研究,以确定职业性铅暴露导致的改变的发生情况。