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稻谷加工工人肺活检的病理组织学观察

HISTOPATHOLOGY OF GRAIN PROCESSING WORKERS’ LUNG BIOPSIES

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【作者】 钱仲棐; 袁玉华; 胡友宽;

【Author】 Qian ZhongfeiDepartment of Pathology Yuan YuhuaCenter for The Prevention And Treatment of Occupational Diseases of ChangshaHu Youkuan The First Grain Storage of Changsha

【机构】 湖南医学院病理学教研室; 长沙市职业病防治所; 长沙市粮食一仓库;

【摘要】 对10例临床诊断为Ⅰ期生肺的稻谷加工工人肺活检标本进行了病理组织学观察。主要病变为弥漫性肺纤维化,有纤维细胞结节形成。小气道管壁纤维化和小血管玻璃样变均较明显。肺组织内有大量粉尘沉着。

【Abstract】 Lung biopsies of ten grain workers with stage I pneumoconiosis were observed. The main histopathological changes were diffuse pulmonary fibrosis and deposition of large amount of dust. Fibro-cellular nodules were seen in three cases. Fibrosis of small airways and hyaline degeneration of small vessels were seen obviously in some cases. Grain dust had been analysed. It consisted of 58% organic and 42% inorganic dust, which contained 3.66-16.7% free silica. It is considered that both of organic and inorganic dust induce pulmonary pathological changes of the grain workers in cooperation.

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