长期专业接触邻苯二甲酸盐对神经系统的严重损害

W. Kuliński
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引用次数: 1

摘要

本文报告一位37岁男性患者,在工作中使用含有邻苯二甲酸二异壬酯的油漆稀释剂十多年后,患了非常严重的神经系统损伤并四肢瘫痪。脑MRI显示双脑半球散在局灶性病变,典型的细胞毒性水肿。2年后进行的随访检查显示持续病变和更严重的皮质萎缩。患者还观察到认知功能下降和操作记忆障碍。他的思维过程表现出迟钝和缺乏灵活性的特点。患者的临床表现表明长期接触邻苯二甲酸酯后神经系统严重受损。
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Severe Nervous System Damage in Long-Term Professional Exposure toPhthalates
This paper presents a case of a 37-year-old male patient who suffered from very severe nervous system damage with tetraparesis after having used a paint thinner containing diisononyl phthalate at work for more than ten years. Brain MRI revealed scattered focal lesions in both cerebral hemispheres, typical of cytotoxic oedema. A follow-up examination conducted after 2 years showed persistent lesions and more severe cortical atrophies. Decreased cognitive function and operating memory disturbances were also observed in the patient. His mental processes display features of sluggishness and lack flexibility. Clinical presentation of the patient indicates severe nervous system damage in long-term contact with phthalates.
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