CAJ | 학술논문

目的探讨石工矽肺患者的临床特征.方法对50例石工矽肺患者进行了临床分析.结果石工矽肺发病年龄为( 39.1±5.4)岁,发病工龄为(7.3±3.6)年,发病工种以炮工(40％)、破碎工(26％)居多.患者症状以咳嗽(60％)、胸痛(48％)、咳痰(34％)为主.胸片表现为圆形小阴影“q”占78％,“p”影占22％.肺功能轻度损伤4例(8％).血气分析异常21例(42％).心电图异常占28％.矽肺致残引致劳动能力完全丧失者占40％.结论石工矽肺临床特征为发病年龄大,发病工龄长,呼吸道症状多,胸片表现主要为圆形小阴影“q”,肺通气功能损伤和心电图异常发生率低.石工矽肺临床表现与人造宝石加工工人矽肺相似,但比宝石加工工人矽肺轻.
목적 탐토석공석폐환자적림상특정.방법 대50례석공석폐환자진행료림상분석.결과 석공석폐발병년령위( 39.1±5.4)세,발병공령위(7.3±3.6)년,발병공충이포공(40％)、파쇄공(26％)거다.환자증상이해수(60％)、흉통(48％)、해담(34％)위주.흉편표현위원형소음영“q”점78％,“p”영점22％.폐공능경도손상4례(8％).혈기분석이상21례(42％).심전도이상점28％.석폐치잔인치노동능력완전상실자점40％.결론 석공석폐림상특정위발병년령대,발병공령장,호흡도증상다,흉편표현주요위원형소음영“q”,폐통기공능손상화심전도이상발생솔저.석공석폐림상표현여인조보석가공공인석폐상사,단비보석가공공인석폐경.
Objective To explore the clinical features of silicosis in quarrying workers.Methods A clinical analysis was conducted in 50 quarrying workers with silicosis.Results The age of onset was ( 39.1 ± 5.4 ) years and time of symptom development after getting the job was ( 7.3 ± 3.6 ) years.The affected workers were mostly for stone explosion ( 40％ ), and stone breaking ( 26％ ).Respiratory symptoms were mainly coughing ( 60％ ), chest pain t ( 48％ ),and phlegm ( 34％ ).Small round opacities ‘q’ and ‘p’ on chest films were 78％ and 22％,respectively.Lung dysfunction developed in 8％ of the workers,blood gas abnormalities in 42％,and abnormal electrocardiogram in 28％.40％ of the workers completely lost labor ability due to silicosis.Conclusions The clinical features of silicosis in quarrying workers are older age of onset,longer duration of dust exposure,and more respiratory symptoms.chest radiographic examination mainly shows small round opacities ‘q’.The incidence of lung dysfunction and blood gas abnormalities are lower.The clinical features of suarrying workersare similar with those of gem processing workers,but the symptoms are milder.