环境与职业医学2012，Vol.29Issue(6)：351-354,4.
高分辨率CT检查粉尘作业人员早期肺气肿
Detection of Early Emphysema in Workers Exposed to Dust by High-Resolution X-Ray Computed Tomography
何为 1陈达民 1王忠诚 1章敏华 1韩毓珍1
作者信息
- 1. 上海市疾病预防控制中心,上海200336
- 折叠
摘要
Abstract
[ Objective ] To apply high-resolution x-ray computed tomography (HRCT) to early emphysema detection in dust exposed workers with suspected pneumoconiosis, and to provide evidence for occupational health surveillance and intervention. [ Methods ] A total of 312 workers with dust exposure and meeting the criteria of suspected pneumoconiosis were recruited, among which 136 workers were exposed to welding dust, 119 to other pneumoconiosis-related dust (OPRD), and 57 to particles not otherwise regulated. All workers received regular medical chest examination, high-KV chest radiography, HRCT and pulmonary function examination. [ Results ] No emphysema was identified by high-KV radiography examination. Fifty-one cases of early emphysema were detected by HRCT, including 29 welders, 18 workers exposed to OPRD, and 4 workers exposed to particles not otherwise regulated. The corresponding detection rates were 21.3%, 15.1% and 7.0% respectively (P= 6.3, P<0.05). The longer length of service was' the higher detection rate presented (X2=14.59, P<0.05). The detection rate of early emphysema in the group older than 50 years was higher than that in the group younger than 50 years. [ Conclusion ] Detection rates of early emphysema in suspected pneumoconiosis workers exposed to dust are associated with age, length of dust exposure, and dust type. More emphysema cases are found in welders having suspected pneumoconiosis. HRCT is suggested to perform in higher priority to suspected pneumoconiosis workers especially those older than 50 years old.关键词
高分辨率电子计算机断层扫描/粉尘作业人员/观察对象/早期肺气肿/职业健康监护Key words
high-resolution x-ray computed tomography/ workers exposed to dust/ observed objects/ earlyemphysema/ occupational health care分类
医药卫生引用本文复制引用
何为,陈达民,王忠诚,章敏华,韩毓珍..高分辨率CT检查粉尘作业人员早期肺气肿[J].环境与职业医学,2012,29(6):351-354,4.
