慢性丁二酮接触所致阻塞性通气障碍3例  

3 cases of obstructive ventilation disorder caused by chronic butanedione exposure

作　　者：谢巧英[1] 褚彦明 胡祖应[1] Xie Qiaoying;Chu Yanming;Hu Zuying(Occupational Disease Department of Hangzhou Occupational Disease Prevention and Control Hospital,Hangzhou 310014,China;General Practice Department of Zhejiang Elderly Care Hospital,Hangzhou 310014,China)

机构地区：[1]杭州市职业病防治院职业病科,杭州310014 [2]浙江老年关怀医院全科,杭州310014

出　　处：《中华劳动卫生职业病杂志》2024年第11期858-861,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：浙江省医药卫生科技计划(2023ky1003)。

摘　　要：本文分析讨论3例慢性丁二酮接触所致阻塞性通气障碍的职业病诊断与鉴定病例,3例患者职业性接触丁二酮3个月至2年后出现反复咳嗽,活动后胸闷、气急为主要症状,肺功能检查表现为通气功能障碍,职业病诊断为职业性慢性丁二酮中毒所致阻塞性肺疾病。提示丁二酮有致肺部通气功能损伤效应,为我国制定丁二酮职业接触限值和职业病诊断标准提供依据。This paper analyzed and discussed 3 cases of the occupational diseases diagnosis and identification of obstructive ventilation disorder caused by chronic butanedione exposure.3 patients developed recurrent cough 3 months to 2 years after occupational exposure to butanedione.After the activity,the chest tightness and shortness of breath were the main symptoms.Pulmonary function tests presented with ventilatory dysfunction.And the patients were diagnosed as obstructive pulmonary disease caused by occupational chronic butanedione poisoning.It is suggested that butanedione could cause lung ventilation function injury,and provided a basis for the formulation of butanedione occupational exposure limit value and occupational disease diagnosis standard in China.

关 键 词：肺疾病 阻塞性 丁二酮 肺功能损伤 中毒 职业病 

分 类 号：R135.1[医药卫生—劳动卫生]