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題名 | 造船廠員工石棉塵肺症之篩檢計畫=Screening Program of Asbestosis Among Shipbuilding Industry |
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作 者 | 吳聰能; 許昭純; 張秀芳; 劉紹興; 陳永煌; 索任; | 書刊名 | 中華職業醫學雜誌 |
卷期 | 5:1 1998.01[民87.01] |
頁次 | 頁31-38 |
分類號 | 412.78 |
關鍵詞 | 石棉塵肺症; 造船廠; 胸部X光; Asbestos; Asbestos-related disorders; Chest X-ray; Pneumoconiosis; |
語文 | 中文(Chinese) |
中文摘要 | 石綿是一群呈纖維狀矽酸鹽的總稱,主要分為兩大類蛇紋石及角閃石。石綿具有 優良的耐熱及絕緣特性而被廣泛使用於造船工廠。但由於其堅固不易被破壞之特性,對人體尤 其是肺部會造成危害。石綿暴露相關疾病包括肺部纖維化、肋膜斑、肋膜增厚及肋膜積水等 。 同時罹患惡性間皮瘤及肺癌的危險亦例升高。國內石綿塵肺症報告的案例不多,民國 79 年至今國內才三個案例。而三總最近報告國內之第四例,該員工在某造船廠服務迄二十餘年 ,胸部 X 光顯示右肺中葉及左肺下葉呈纖維化,且肋膜有增厚之現象。 因此進行北部兩個 造船廠的胸部 X 光篩檢,篩檢結果發現塵肺症者 26 人 (2.8%), 肺結核 22 人 (2.4%), 肋膜變厚 4 人 (0.4%) 及肋膈角變鈍者 9 人 (1.0%)。 這些個案將進一步利用高顯像性電 腦斷層攝影檢查以確定病變。我國過去為拆船王國,這些勞工暴露於石綿粉塵環境之下,隨 著歲月累積,相信在不久的將來石綿塵肺症之案例會陸續增加。 |
英文摘要 | Asbestosis is a collective term for some of the metamorphic, fibrous mineral silicates. Asbestos is widely used in shipbuilding industry for insulation. Asbestos-related disorders include asbestosis, pleural plaque, pleural thickening and calcification, pleural effusion, lung cancer, and malignant mesothelioma. Recently, the fourth case of asbestosis in Taiwan, which developed in shipuilding worker, was reported by the TSGH Occupational Medicine Center. Therefore, this study was conducted to screen the respiratory disorders among the shipbuilding workers in two factories of Northern Taiwan. A 35cmX35cm chest X-ray was examined for each worker in there two factories. The chest X-ray was read by a chest medicine specialist. The results showed that the prevaiene of peneumoconiosis was 2.8% (26 cases) of pleural thickening was found. Two of then were bilateral, diffused pleural thickening. Nine (1.0%) cases showed costo- phrenic angle blunting. These cases will be transferred to TSGH for further confirmation by high resolution CT. Early diagnosis and early prevention for asbestos-related disorders was gained from this acreening program. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。