1990-2004年龙岩市慢性铅中毒病例分析.docVIP

1990-2004年龙岩市慢性铅中毒病例分析 ?604?防医学论坛2006年9月第12卷第5期 1990--2004年龙岩市慢性铅中毒病例分析 PreyMedTribVo1.12,No.5,Sep.2006 陈清洪,陈惠娟,陈彬霞 (福建省龙岩市疾病预防控制中心,福建龙岩364000) 中图分类号:R135.1l文献标识码:C文章编号:1672—9153(2006)05一O6o4一O3 【资料分析】 摘要:[目的]了解龙岩市铅中毒发病规律,以便提出防治措施.[方法]对1990～2004年龙岩市职业病防治院和市 以上职业病中毒诊断小组确诊的慢性铅中毒患者资料进行分析.[结果]合计发现异常者339例,其中慢性铅中毒241 例(轻度中毒175例,中度中毒65例,重度中毒1例),观察对象98例;冶炼行业251例,蓄电池行业28例,印刷业1例, 其他行业59例;男性319例,女性2O例;18～2O岁5例,21～3O岁66例,31～4O岁172例,41～5O岁68例,51～72岁 28例;工龄lt;1年,1～5年,6～1O年,11～15年,16～20年,21～25年,26～3O年,gt;3O年的分别为12例,74例,93例, 61例,38例,42例,17例,2例.摘要治疗与转归情况,铅中毒慢性轻度患者经一个疗程,部分二个疗程治疗基本治愈出 院;铅慢性中度患者经二,三个疗程治愈出院,但最长治疗六个疗程治愈出院.[结论]龙岩市慢性铅中毒患者中,依次以 冶炼,生活性(饮酒),蓄电池接铅患病较多,男性多于女性,患病以31～5O岁较多,工龄(包括生活性饮酒)以1.0～15年 为主;今后职业病防治重点仍以从事冶炼,蓄电池行业为主. 关键词:慢性铅中毒;分析 AnalysisonLeadPoisoningCasesinLongyanCityduring1990to2004/CHENQing—hong,CHENHui—juan,CHEN Bin-xia.(LongyanCenterforDiseaseControlandPrevention,Longyan,364000,Fian,China) Abstract:[,Objective]TounderstandthecharacteristicsofleadpoisoningprevalenceinLongyancityinordertobring forwardthemeasureforitscontrolandprevention.[-Methods]Toanalyzethedataoftheleadpoisoningcasesduring1990 to2004diagnoseddeterminatelybyLongyanhospitalforoccupationaldiseasecontrolandpreventionandthediagnosis groupsforoccupationaldisease.i-Results]339abnormalcaseswerefound,amongwhichchronicleadpoisoningcaseswere 241with175forlightdegree,65formidrange,1forhighdegree,casesneededobservationwere98.251caseswerefrom metallurgicalrefineryindustries,28fromstoragebatteryindustries,1fromprintingindustry,and59fromotherindus— tries.Malecaseswere319whilefemalewere20;therewere5casesforgroupsagedfrom18to20,66for21to30,172for 31to40,68for41to50,28for51to72;thedistributionofcasesinlengthofserviceshowedthattherewere12casesfor groupunder1year,74for1to5years,93for6to10,61for11to15,38for16to20,42for21to25,17for26to3O,2for over30years.Mostofhelightdegreecaseshadhad1courseoftreatment,.somehad2courses;mostofthemidrangeca— seshad2or3coursesoftreatment,thelongestonewas6course.[conclusion]Thechronicleadpoisonin