Ameille J
Hôpital Raymond-Poincaré, Garches.
Rev Prat. 1998 Jun 15;48(12):1299-302.
The role of the family doctor in the medical surveillance of asbestos-exposed workers is important, mainly after retirement. The surveillance modalities should take into account the levels of exposure and the date of the beginning of exposure (long latency period of asbestos-related diseases). Due to the lack of evidence of improvement of lung cancer prognosis, and in the absence of effective treatment of mesothelioma, the interest of medical surveillance is at the present time medico-legal rather than strictly medical. Consequently, maximalist attitudes, costly and may be hazardous, should be avoided.
家庭医生在石棉接触工人医疗监测中的作用很重要,主要是在退休后。监测方式应考虑接触水平和接触开始日期(石棉相关疾病潜伏期长)。由于缺乏肺癌预后改善的证据,且间皮瘤没有有效治疗方法,目前医疗监测的意义更多在于医疗法律方面而非严格的医学方面。因此,应避免采取极端、昂贵且可能有风险的态度。