谢苗苗, 毛翎. 石材加工工人矽肺:流行与临床特征[J]. 环境与职业医学, 2021, 38(10): 1156-1160. DOI: 10.13213/j.cnki.jeom.2021.21077
引用本文: 谢苗苗, 毛翎. 石材加工工人矽肺:流行与临床特征[J]. 环境与职业医学, 2021, 38(10): 1156-1160. DOI: 10.13213/j.cnki.jeom.2021.21077
XIE Miaomiao, MAO Ling. Silicosis associated with stone processing workers: Epidemic and clinical features[J]. Journal of Environmental and Occupational Medicine, 2021, 38(10): 1156-1160. DOI: 10.13213/j.cnki.jeom.2021.21077
Citation: XIE Miaomiao, MAO Ling. Silicosis associated with stone processing workers: Epidemic and clinical features[J]. Journal of Environmental and Occupational Medicine, 2021, 38(10): 1156-1160. DOI: 10.13213/j.cnki.jeom.2021.21077

石材加工工人矽肺:流行与临床特征

Silicosis associated with stone processing workers: Epidemic and clinical features

  • 摘要:

    人造石材广泛应用于建筑装饰行业,世界各地陆续出现人造石材加工相关的矽肺病例。与天然石材相比,人造石由于游离二氧化硅含量很高(>90%),作业场所粉尘浓度很高,对工人健康危害更大。人造石矽肺暴露工龄短、病情进展快,预后差。本文综述石材分类与组成,对天然石材和人造石材加工工人矽肺的流行特征与发病机制、临床表现、肺功能、影像学特征以及进展与预后进行比较和总结。呼吁必须加强石材行业职业卫生监管,切实保护劳动者健康。

     

    Abstract:

    Artificial stones have been widely used in construction and decoration industry, when cases of silicosis associated with artificial stone processing have been occurring all over the world. Compared with natural stones, artificial stones are more harmful due to the high levels of free silica (>90%) and air dust at workplace. Artificial stone silicosis features a short exposure period, rapid progress, and poor prognosis. In this paper, classification and composition of stone materials were introduced, and the epidemic features, pathogenesis, clinical manifestations, pulmonary functions, imaging characteristics, progression, and prognosis of silicosis associated with natural stone workers versus artificial stone workers were compared and summarized. This review concluded with a call for strengthening occupational health supervision for the stone industry and effectively protecting workers' health.

     

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