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目的研究马鞍山钢铁企业尘肺及其并发症的发病状况、临床表现和X线胸片特征,为尘肺并发症的治疗及预防提供科学依据。方法采用回顾性的研究方法,对尘肺并发症的临床表现和X线胸片特征及不同尘肺期别和尘肺不同类型阴影并发症特点等资料进行分析。结果累计1 154例尘肺病例,发生并发症641例,占55.5%。并发肺癌58例;肺结核377例;其他并发症88例;肺功能中度以上损伤118例。结论尘肺病并发症肺结核占首位,其次为肺癌和肺部感染性疾病,晚期常伴有心、肺功能的损害性疾病。尘肺并发症的早期临床表现具有一些共同特征,易于混淆。尘肺期别越高并发症的并发率越高。
Objective To study the incidence, clinical manifestations and X-ray findings of pneumoconiosis and its complications in the steelmakers in Maanshan and to provide a scientific basis for the treatment and prevention of pneumoconiosis complications. Methods The retrospective research methods were used to analyze the clinical manifestations of pneumoconiosis and the characteristics of X-ray and the complications of different types of pneumoconiosis and pneumoconiosis. Results A total of 1 154 cases of pneumoconiosis occurred, with 641 complications (55.5%). 58 cases of concurrent lung cancer; 377 cases of tuberculosis; 88 cases of other complications; 118 cases of moderate or severe lung function injury. Conclusions Pneumoconiosis is the most common form of pulmonary tuberculosis, followed by lung cancer and pulmonary infectious diseases. The latter is often accompanied by heart and lung damage. Early clinical manifestations of pneumoconiosis have some common features that are easily confused. The higher the pneumoconiosis stage, the higher the complication rate of complications.