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題 名 | 職業性心臟血管疾病之鑑定個案及討論=Occupation and Cardiovascular Disease--Review and Case Discussions |
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作 者 | 蘇大成; 杜宗禮; 王榮德; | 書刊名 | 內科學誌 |
卷 期 | 12:2 2001.04[民90.04] |
頁 次 | 頁47-53 |
分類號 | 412.9 |
關鍵詞 | 職業; 職業血管疾病; Occupation; Cardiovascular disease; |
語 文 | 中文(Chinese) |
中文摘要 | 臺灣過去四十年來的經濟起飛,工業的急速發展扮演了重要的角色,然而相 伴而來的各種環境與職業病,卻一直被低估而忽略。環境職業引起之心臟血管疾病,較為常 見的有心律不整、冠狀動脈心臟病、動脈硬化及猝死。會引起職業性心臟病的化學藥品,包 括二硫化碳,硝化甘油、二硝酸乙二醇、一氧化碳,吸二手煙,以及鹵化碳氫化合物及某些 重金屬 (鉛、鈷、砷等 ) 亦有相關。 物理性因素與心臟血管疾病相關者,有缺乏運動、噪 音及高溫與極冷之環境。會增加心臟血管疾病的心理社會因素,則有工作壓力及輪班工作。 由於冠狀動脈心臟病之致病機轉相當複雜,主要的危險因子的有高血壓、糖尿病、高膽固醇 血症、抽煙、年紀大、肥胖及冠心病家族史,故環境職業因素與心臟血管疾病之致病關係不 易確定。然而瞭解上述之職業性心臟病致病因素,並透過作業環境及工業衛生之改善加以防 制,應該預防其發生;並應定期檢討工作壓力之定義,以合職災補償之原意。 |
英文摘要 | The rapid industrialization plays an important role in the economic development of Taiwan during past forty years. It is true that environmental and occupational disease frequently accompanied the industrial development, but was often neglected. The clinical presentations of occupational heart disease include cardiac arrhythmia, coronary heart disease (CHD), atherosclerosis and sudden death. Physical and chemical agents, which include carbon disulfide, nitroglycerine, ethylene glycol dinitrate, carbon monoxide, halogenated hydrocarbons, passive smoking, and some havey metals (lead, cobalt, arsenic, etc.), physical inactivity, noise, excessive heat, and excessive cold have been reported ot be associated with occupational diseases. Stress and shift work are recently reported psychosocial factors to be related to cardiovascular diseases. As hypertension, diabetes, hyper- cholesterolemia, smoking, aged, obese, and family history of premature CHD are recognized as the major risk factors of CHD. It is usually difficult to clarify the causal relationship of occupational exposure and development of CHD. However, we can still prevent the occurrence of occupational cardiovascular disease through better understanding of the pathophysiology and proactively improve the work environment. The definition of stress and its role in the workmen compensation of occupationally related myocardial infarction and/or stroke should be periodically reviewed to accord with ethic principle of justice. |
本系統中英文摘要資訊取自各篇刊載內容。