[纤维性粉尘与心肺功能]。

V Havel, M Musil
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摘要

在铸铁厂工作场所(间隔10年)和石棉加工工作场所(粉尘27年,工作量8年)重复测量粉尘浓度和工作量。工作负荷为轻度至中度,很少重(轮班时能量输出2.0至5.7 MJ),平均心率94-106。铸造厂的职业病发病率保持稳定,而资产加工厂的职业病发病率有所上升(主要是肺癌)。三分之二的工人吸烟,尽管铸造厂工人的平均流量-体积曲线与标准几乎相同。年龄条件下的衰减速度更快,尤其是FEF50和25,FRC和RV的升高幅度更大。运动测试结果与正常人群相同(2.7 +/- 0.7 l/min)。就石棉加工而言,发现粉尘浓度已降至限值以下。尽管如此,观察到肺癌发病率的增加可能是由于过去的高粉尘浓度和吸烟习惯(三分之二的工人)。流量-体积曲线明显小于正常值。随着石棉接触量的增加和年龄的增长(相关性更密切),呼吸参数(6-7岁测量)的恶化速度加快了两倍。与男性相比,女性的相关性更强。在男性群体中,这种恶化在最后一次测量中更为严重。劳力计测试结果达到无氧阈值与正常人群相同。
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[Fibroplastic dust and cardio-respiratory functions].

Repeated measurements of dust concentrations and work loads were made at the workplaces in iron foundries (interval 10 years) and processing of asbestos (dusts 27 years and work load 8 years). The work load was mild to moderate, rarely heavy (energy output 2.0 to 5.7 MJ in the shift) with a mean heart rate 94-106. The incidence of occupational diseases was stabilized in the foundries, increased in the asset processing plants (mostly lung cancer). Two thirds of the workers were smokers, in spite of that the workers in the foundries had their mean flow-volume curve almost identical with the standards. Their age conditioned diminution was faster especially for FEF50 and 25 and accompanied with a bigger rise of FRC and RV. Exercise testing demonstrated the same fitness as in normal population (2.7 +/- 0.7 l/min). As far as asbestos processing is concerned, a diminution of dust concentrations below the limits was found. Despite of this, an increase in lung cancer incidence was observed probably as a consequence of high dust concentrations in the past and smoking habits (2/3 of workers). The flow-volume curves were obviously smaller than the normals. With the rising of exposure to asbestos and with the advancing age (more close correlation), the deterioration of respiratory parameters (measured during 6-7 years) was two times faster. The correlations were more close for women then for men. In the man group, this deterioration was greater in the last measurements. The results of ergometer testing up to anaerobic threshold were identical with those found in normal population.

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