本文關(guān)鍵詞： 水泥塵肺 小陰影 肺功能 診斷 臨床特點　出處：《中國職業(yè)醫(yī)學》2014年06期 　論文類型：期刊論文

【摘要】：目的分析水泥塵肺的臨床特點。方法回顧性分析2011—2013年在北京大學第三醫(yī)院進行職業(yè)病診斷的197例接觸水泥粉塵的病例資料特征,對病例的性別、診斷年齡、工齡和脫離粉塵接觸時間、X射線胸片表現(xiàn)和肺功能改變等進行分析。結(jié)果 197例病例中,診斷為觀察對象和水泥塵肺壹期的病例分別有65例和129例;觀察對象的X射線胸片p和s形小陰影分別占84.6%和15.4%,水泥塵肺壹期病例的X射線胸片p、q和s小陰影分別占86.8%、7.8%和5.4%;觀察對象和水泥塵肺壹期肺功能異常率分別為38.5%和48.1%。水泥塵肺壹期的女性病例診斷年齡比男性病例大(P0.05),小陰影分布的肺區(qū)數(shù)比男性病例少(P0.05)。水泥塵肺壹期病例肺功能異常率隨年齡增加而升高(P0.05)。結(jié)論水泥塵肺發(fā)病緩慢,女性發(fā)病年齡比男性晚,胸片改變相對較輕。
[Abstract]:Objective to analyze the clinical characteristics of cement pneumoconiosis. Methods the data of 197 cases of occupational disease diagnosed in the third Hospital of Peking University from 2011 to 2013 were analyzed retrospectively. The sex, age of diagnosis, length of service and time of dust disconnection were analyzed. Results among 197 cases, the findings of chest radiography and pulmonary function were analyzed. There were 65 cases and 129 cases of cement pneumoconiosis diagnosed as observation object and cement pneumoconiosis stage 1 respectively. 84.6% and 15.4 small shadows of X ray chest radiographs and 86.8% pq and s small shadows of X-ray chest radiographs in patients with cement pneumoconiosis were observed, respectively. 7.8% and 5.4; The abnormal rate of pulmonary function in the first stage of the observation and cement pneumoconiosis was 38.5% and 48.1 respectively. The diagnostic age of the women with the first stage of cement pneumoconiosis was larger than that of the male cases (P 0.05). The number of lung areas with small shadow distribution was less than that of male patients. The abnormal rate of pulmonary function in the first stage of cement pneumoconiosis increased with the increase of age. Conclusion cement pneumoconiosis has a slow onset. The onset age of female was later than that of male, and the change of chest radiographs was relatively slight.
【作者單位】： 北京大學第三醫(yī)院職業(yè)病科;
【基金】：國家臨床重點�？平ㄔO(shè)項目(2011-9)
【分類號】：R135.2
【正文快照】： 水泥塵肺是長期吸入水泥粉塵而引起肺組織纖維化的一種職業(yè)病,屬于硅酸鹽類塵肺[1]。隨著我國國民經(jīng)濟的迅速發(fā)展,全國各地近年來報道的水泥塵肺病例也不斷增加,有些地區(qū)水泥塵肺的新發(fā)病例數(shù)已經(jīng)位于所有塵肺病中除煤工塵肺和矽肺外的第3位[2-3]。水泥生產(chǎn)和使用水泥的有關(guān)人

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本文編號：1483922