{"title":"病例报告。","authors":"W. C. Weese","doi":"10.1056/nejm192405011901829","DOIUrl":null,"url":null,"abstract":"Background Many patients in Sweden are today distressed by fears of \"electric fields.\" This phenomenon was almost unknown to occupational health clinics 10 years ago. Case history and examination A 35-year-old male plumber complained of fatigue, headache, lack of concentration, numbness and paresthesia in his arms, and a greasy feeling in his palms, where he observed tiny shiny spots. These symptoms made him unable to work. It all started after a period of high strain at the work. He feared negative influences, mainly from electric fields. Signs indicating nerve entrapment in the upper extremi-ties were found in a clinical examination. P ~ o v o c ~ ~ ~ o ~ Study The patient was blindly provocated in a whole-body electromagnetic coil at 34 or 100 pT randomly mixed with sham exposures. After being blinded against irrelevant external cues, he was not able to detect the existence of or any symptoms at either field intensity. He was informed about the results and was later able to return to his previous work. C O ~ C ~ U S ~ O ~ S No sensitivity to electromagnetic fields could be objectively verified for this patient, who was suspected to suffer from a thoracic outlet syndrome.","PeriodicalId":75714,"journal":{"name":"Clinical notes on respiratory diseases","volume":"14 4 1","pages":"15-6"},"PeriodicalIF":0.0000,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1056/nejm192405011901829","citationCount":"0","resultStr":"{\"title\":\"Case report.\",\"authors\":\"W. C. Weese\",\"doi\":\"10.1056/nejm192405011901829\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background Many patients in Sweden are today distressed by fears of \\\"electric fields.\\\" This phenomenon was almost unknown to occupational health clinics 10 years ago. Case history and examination A 35-year-old male plumber complained of fatigue, headache, lack of concentration, numbness and paresthesia in his arms, and a greasy feeling in his palms, where he observed tiny shiny spots. These symptoms made him unable to work. It all started after a period of high strain at the work. He feared negative influences, mainly from electric fields. Signs indicating nerve entrapment in the upper extremi-ties were found in a clinical examination. P ~ o v o c ~ ~ ~ o ~ Study The patient was blindly provocated in a whole-body electromagnetic coil at 34 or 100 pT randomly mixed with sham exposures. After being blinded against irrelevant external cues, he was not able to detect the existence of or any symptoms at either field intensity. He was informed about the results and was later able to return to his previous work. C O ~ C ~ U S ~ O ~ S No sensitivity to electromagnetic fields could be objectively verified for this patient, who was suspected to suffer from a thoracic outlet syndrome.\",\"PeriodicalId\":75714,\"journal\":{\"name\":\"Clinical notes on respiratory diseases\",\"volume\":\"14 4 1\",\"pages\":\"15-6\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1976-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1056/nejm192405011901829\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical notes on respiratory diseases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1056/nejm192405011901829\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical notes on respiratory diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1056/nejm192405011901829","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
如今,瑞典的许多病人都因对“电场”的恐惧而苦恼。10年前,职业健康诊所几乎不知道这种现象。一名35岁男性水管工主诉疲劳、头痛、注意力不集中、手臂麻木和感觉异常,手掌有油腻感,并有小亮斑。这些症状使他无法工作。这一切都是在一段时间的高强度工作之后开始的。他害怕负面影响,主要是电场的影响。在临床检查中发现上肢神经卡压的迹象。患者在34或100 pT的全身电磁线圈中被盲目刺激,随机混合假暴露。在对不相关的外部线索视而不见后,他无法在两种场强下检测到存在或任何症状。他被告知了结果,后来又能继续他以前的工作了。C O ~ C ~ U S ~ O ~ S该患者对电磁场无敏感性,怀疑为胸廓出口综合征。
Background Many patients in Sweden are today distressed by fears of "electric fields." This phenomenon was almost unknown to occupational health clinics 10 years ago. Case history and examination A 35-year-old male plumber complained of fatigue, headache, lack of concentration, numbness and paresthesia in his arms, and a greasy feeling in his palms, where he observed tiny shiny spots. These symptoms made him unable to work. It all started after a period of high strain at the work. He feared negative influences, mainly from electric fields. Signs indicating nerve entrapment in the upper extremi-ties were found in a clinical examination. P ~ o v o c ~ ~ ~ o ~ Study The patient was blindly provocated in a whole-body electromagnetic coil at 34 or 100 pT randomly mixed with sham exposures. After being blinded against irrelevant external cues, he was not able to detect the existence of or any symptoms at either field intensity. He was informed about the results and was later able to return to his previous work. C O ~ C ~ U S ~ O ~ S No sensitivity to electromagnetic fields could be objectively verified for this patient, who was suspected to suffer from a thoracic outlet syndrome.