中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2011年
10期
770-772
,共3页
钟逸菲%杨炜%钟洁莹%李国辉
鐘逸菲%楊煒%鐘潔瑩%李國輝
종일비%양위%종길형%리국휘
三氯乙烯%皮炎,职业性%中毒
三氯乙烯%皮炎,職業性%中毒
삼록을희%피염,직업성%중독
Tichloroethylene%Dermatitis%occupational%Poisoning
目的 调查分析三氯乙烯(trichlororethylene,TCE)所致职业性TCE中毒和职业性TCE药疹样皮炎病例的人群特征、工种分布,为预防提供依据.方法 回顾分析2002至2009年确诊的三氯乙烯所致职业病患者的年龄、性别、行业、工种、工龄、作业现场浓度等因素.结果 2002至2009年东莞市共发生82例TCE所致职业病病例,死亡8例,病死率为9.8％.其中职业性急性TCE中毒12例(女8例,男4例；轻度中毒9例,重度中毒3例),占14.6％,死亡3例,死亡率为25.0％；职业性TCE药疹样皮炎70例(男37例,女33例),占85.4％,死亡5例,死亡率为7.1％.12例职业性急性TCE中毒患者中,清洗工11人(占91.7％),打枪水工1人(占8.3％)；工龄最短3d,最长450 d.70例职业性TCE药疹样皮炎患者的工种分布为清洗工29例(占41.4％)、挂件工12例(17.1％)、洗板工8例(11.4％)、涂装工5例(7.1％)、打枪水工4例(5.7％)、其他工种12例(17.1％)；工龄最短1d,最长50d.结论 东莞市TCE所致职业病有职业性TCE中毒和TCE药疹样皮炎,以TCE药疹样皮炎为主.以清洗工种工人发病为主.TCE药疹样皮炎可治难防,应加强对新进工人的早期监测.
目的 調查分析三氯乙烯(trichlororethylene,TCE)所緻職業性TCE中毒和職業性TCE藥疹樣皮炎病例的人群特徵、工種分佈,為預防提供依據.方法 迴顧分析2002至2009年確診的三氯乙烯所緻職業病患者的年齡、性彆、行業、工種、工齡、作業現場濃度等因素.結果 2002至2009年東莞市共髮生82例TCE所緻職業病病例,死亡8例,病死率為9.8％.其中職業性急性TCE中毒12例(女8例,男4例；輕度中毒9例,重度中毒3例),佔14.6％,死亡3例,死亡率為25.0％；職業性TCE藥疹樣皮炎70例(男37例,女33例),佔85.4％,死亡5例,死亡率為7.1％.12例職業性急性TCE中毒患者中,清洗工11人(佔91.7％),打鎗水工1人(佔8.3％)；工齡最短3d,最長450 d.70例職業性TCE藥疹樣皮炎患者的工種分佈為清洗工29例(佔41.4％)、掛件工12例(17.1％)、洗闆工8例(11.4％)、塗裝工5例(7.1％)、打鎗水工4例(5.7％)、其他工種12例(17.1％)；工齡最短1d,最長50d.結論 東莞市TCE所緻職業病有職業性TCE中毒和TCE藥疹樣皮炎,以TCE藥疹樣皮炎為主.以清洗工種工人髮病為主.TCE藥疹樣皮炎可治難防,應加彊對新進工人的早期鑑測.
목적 조사분석삼록을희(trichlororethylene,TCE)소치직업성TCE중독화직업성TCE약진양피염병례적인군특정、공충분포,위예방제공의거.방법 회고분석2002지2009년학진적삼록을희소치직업병환자적년령、성별、행업、공충、공령、작업현장농도등인소.결과 2002지2009년동완시공발생82례TCE소치직업병병례,사망8례,병사솔위9.8％.기중직업성급성TCE중독12례(녀8례,남4례；경도중독9례,중도중독3례),점14.6％,사망3례,사망솔위25.0％；직업성TCE약진양피염70례(남37례,녀33례),점85.4％,사망5례,사망솔위7.1％.12례직업성급성TCE중독환자중,청세공11인(점91.7％),타창수공1인(점8.3％)；공령최단3d,최장450 d.70례직업성TCE약진양피염환자적공충분포위청세공29례(점41.4％)、괘건공12례(17.1％)、세판공8례(11.4％)、도장공5례(7.1％)、타창수공4례(5.7％)、기타공충12례(17.1％)；공령최단1d,최장50d.결론 동완시TCE소치직업병유직업성TCE중독화TCE약진양피염,이TCE약진양피염위주.이청세공충공인발병위주.TCE약진양피염가치난방,응가강대신진공인적조기감측.
Objective To understand the demographic,occupational and clinic characteristics of occupational poisioning case due to trichloroethylene in Dongguan in recent years for the purpose of prevention.Methods Using the trichloroethylene patients of poisioning diagnosed in the years between 2002 to 2009 as subjects,their age,sex,industry,job,working duration and exposure level were analysed.Results In Dongguan between 2002 and 2009 altogether 82 cases were reported,among the 82 cases 8 patients were dead with case fatality rate of 9.8％.among them there were 12 cases of poisionings(8 females,4 males); 9 cases were classified as mild poisonings and the rest serious ones.among the 12 cases 3 patients were dead with case fatality rate of 25.0％; Dermatitis caused by TCE there were 70 cases (37 males and 33 females),among the 70 cases 5 patients were dead with case fatality rate of 7.1％.11 persons (91.7％) were engaged in the job of cleaning and 1 (8.3％) in water gun,and they performed the job only for 3 days in shortest and for 450 days in longest.The cases were distributed in the jobs as the following:29 (41.4％),12 (17.1％ ),8 (11.4％),5 (7.1％),4 (5.7％),cases respectively in the job of cleaning,parts hanging,board washing,painting,gun water sprying; a job duration of 1-50 d (27.4 days in average).Conclusion In summary the TCE poisonings in Dongguan were two types of poisioning,i.e.,systmatic poisonings and drug rash-like dermatitis,occupational TCE poisionings took place mainly in the cleaning workers.Dermatitis caused by TCE can cure but hard to prevent,we should strengthen the early examination of new works.
