242例新发尘肺病的临床与X线影像特征分析

张莹; 梁伟辉; 郎丽; 曾子芳; 樊春月; 王艳艳

242例新发尘肺病的临床与X线影像特征分析

广东省职业病防治院, 广东广州 510300

基金项目:

广东省职业病防治重点实验室(2012A061400007)。

国家临床重点专科建设项目经费资助(2011-09)

详细信息

作者简介:
张莹(1977-),女,大学本科,主治医师,主要从事职业病临床工作。

中图分类号: R135.2
计量
- 文章访问数: 206
- HTML全文浏览量: 12
- PDF下载量: 22
出版历程
- 收稿日期: 2014-03-21
- 修回日期: 2014-07-03

Clinical characterization and X-ray image features of 242 first diagnosed pneumoconiosis cases

Guangdong Prevention and Treatment Center for Occupational Diseases, Guangzhou, Guangdong 510300, China

摘要

摘要: 目的探讨首次确诊的尘肺病患者的临床表现和X线影像特征。方法收集2009年1月至2013年12月在广东省职业病防治院住院的242例尘肺病患者,对其进行临床分析。结果 242例尘肺病患者全为男性,其中壹期尘肺病109例(45.04%),贰期87例(35.95%),叁期46例(19.01%)。发病以矽肺和陶工尘肺病例居多。佛山、中山和惠州三市尘肺病患者占全省总数50%。患者平均发病年龄为(43.25 ±7.39)岁,平均接尘工龄为(9.92 ±5.27)年;各期尘肺病发病年龄和接尘工龄的差异无统计学意义(F=0.719、2.570,P>0.05)。各期尘肺病的气促发生率差异有统计学意义(χ²=15.586,P<0.05)。肺通气功能损伤发生率、小气道功能损伤发生率均随尘肺病期别递增而升高(趋势_χ²=4.032、5.550,P<0.05),肺通气功能损伤类型以限制性损伤为主(72.09%)。尘肺病合并结核发生率较低(1.65%)。尘肺病X线影像最突出的是存在圆形小阴影(98.76%,239/242)。小阴影形态以q影为主(78.24%,187/239)。小阴影分布以两中肺区(40.19%,461/1 147)为最多。大阴影分布以右上肺区(47.95%,35/73)居多,其形态以圆形或椭圆形较为常见。结论广东省新发尘肺病例以矽肺和陶工尘肺病居多。控制尘肺病的重点是佛山、中山和惠州三市的宝石加工、石场和陶瓷制造业。企业应认真做好尘肺病防治工作,特别是设置通风防尘设施和做好职业健康监护工作。
- 尘肺病 /
- 小阴影 /
- X线影像特征
+ English
Abstract: Objective To summarize clinical characteristics and X-ray imaging features of the first diagnosed pneumoconiosis patients. Methods The data of 242 first diagnosed cases from January 2009 to December 2013 in hospital were analyzed. Results All of the cases were male, among them 109 cases at stage 1(45.04%),87 cases at stage 2(35.95%),46 cases at stage 3(19.01%). Most cases were silicosis and potter's pneumoconiosis. The average age of onset was (43.25 ±7.39)years old and the average dust exposure time was(9.92 ±5.27)years,and there was no statistical significance on age and exposure time among cases diagnosed at different stages (F=0.719,2.570,P>0.05). There was statistical significance on the occurrence of shortness of breath among different stages(χ²=15.586,P<0.05). Pulmonary function injury rate and small airway function damage rate increased with the severity change varied from stage 1 to stage 3(χ²=4.032,5.550,P<0.05). The major type of pulmonary function damage was restrictive injury (accounting for 72.09%). The occurrence of complication as tuberculosis was low(1.65%). The most prominent X-ray image was the presence of small round opacities(98.76%,239/242)and majority was "q" shadow (78.24%,187/239). The small opacities were mostly distributed in the middle lobes(40.19%,461/1 147). Large shadows were mostly distributed in the right upper lung zones(47.95%,35/73)with round or oval form. Conclusion In Guangdong Province new pneumoconiosis cases were mostly silicosis and potter's pneumoconiosis. The enterprises should improve working environment to prevent pneumoconiosis.
- Pneumoconiosis /
- Small shadows /
- Imaging feature of X-ray

HTML全文

参考文献(13)

[1]	胡玲,陈葆春,徐艳龙,等. 安徽省2006-2009年新发尘肺病流行病学分析[J]. 安徽预防医学杂志,2012,18(1):11-13.
[2]	魏承斌,戴德,史文晋,等. 乐山市1995-2004年新发尘肺病例的流行病学分析[J]. 职业卫生与病伤,2009,24(5):270-271.
[3]	温贤忠,黄永顺,金佳纯,等. 2006-2009年广东省新发尘肺病特点和防治重点探讨[J]. 中国工业医学杂志,2011,24(3):189-190.
[4]	边国林,郭延波,王群利. 宁波市2001-2010年新发尘肺病发病特点分析[J].中国职业医学,2013,40(3):280-281.
[5]	陈喆,戴云. 某市2008年尘肺病发病情况分析及对策研究[J]. 职业卫生与应急救援,2010,28(2):99-101.
[6]	中华人民共和国卫生部. GBZ 70-2009尘肺病诊断标准[S]. 北京:人民卫生出版社,2009.
[7]	Ross M H,Murray J. Occupational respiratory disease in mining[J]. Occup Med(Lond),2004,54(5):304-310.
[8]	尹萸. 2003年全国尘肺病报告发病情况分析[J]. 中国职业医学,2005,32(5):20-23.
[9]	刘锦华,张莹,刘林均,等. 民营石场石工肺调查[J]. 职业卫生与应急救援,2013,31(5):245-248.
[10]	张东辉,丘创逸,谢万力. 广东省尘肺流行病学调查分析(1987-1994)[J]. 职业医学,1997,24(6):16-19.
[11]	金文达,肖奎林,岳军. 邵阳市796例煤工尘肺患者肺通气功能分析[J]. 中国煤炭工业医学杂志,2014,17(2):278-280.
[12]	Nasrullah M,Mazurek J M,Wood J M,et al. Silicosis mortality with respiratory tuberculosis in the United States,1968-2006[J]. Am J Epidemiol,2011,174(7):839-848.
[13]	李德鸿. 尘肺病[M]. 北京:化学工业出版社,2011:90-91.

施引文献

资源附件(0)

计量

文章访问数: 206
HTML全文浏览量: 12
PDF下载量: 22
被引次数: 0

242例新发尘肺病的临床与X线影像特征分析

作者简介: 张莹(1977-),女,大学本科,主治医师,主要从事职业病临床工作。

计量

出版历程

Clinical characterization and X-ray image features of 242 first diagnosed pneumoconiosis cases

计量

出版历程

目录

作者简介:
张莹(1977-),女,大学本科,主治医师,主要从事职业病临床工作。