广东省老年尘肺1036例X线分析

• 作 者: 张东辉 谢万力 丘创逸 林茂发 古焕喜 罗良正 徐小华 徐展光 谢伟诗
• 机 构: 广东省职业病防治院,广东省煤炭工业总公司,广东省重化工业厅
• 出 处: 职业医学
• 发表日期: 1998年02期
• 关键词: 老年尘肺 X线分析 晋期年限 矽肺患者 煤工尘肺 类圆形小阴影 不规则形小阴影 尘肺患者 尘肺诊断 有显著性差异

本文对广东１０３６例（矽肺４５０例、煤工尘肺５８６例）男性老年尘肺Ｘ线胸片进行了分析。结果：老年矽肺Ｘ线表现上类圆形小阴影“ｑ”发生率７２４５％，不同时期“ｑ”影发生率与对照组无差异（Ｐ＞００５）。老年煤工尘肺（ＣＷＰ）Ｘ线形态以不规则形小阴影“ｓ”（３２０８％）、“ｔ”（３２０８％）为主。不同时期“ｓ”影发生率高于对照组（Ｐ＜００１），而“ｔ”影发生率低于对照组（Ｐ＜００１或Ｐ＜００５）。老年尘肺组各晋期年限均比对照组要长，其中死亡病例晋期年限较对照组有显著性差异（Ｐ＜００１）。作者认为，广东省老年矽肺Ｘ线形态以“ｑ”影为主，老年ＣＷＰ以“ｓ”“ｔ”影为主。有“ｓ”“ｔ”影的尘肺患者较有“ｑ”影者预后较好。晋期年限较长者提示较长寿。

In this paper, 1036 cases (silicosis in 450 cases, 586 cases of coal workers pneumoconiosis) male elderly pneumoconiosis X-ray was analyzed. Results: The incidence of “q” in the round small shadow on elderly silicosis was 7245%. There was no difference in the incidence of “q” between the two groups (P> 005). The CWP radiographs of old coal workers were mainly irregular small shadows (3208%) and t (3208%). The incidence of “s” in different periods was higher than that in control group (P <001), while the incidence of “t” shadow was lower than that in control group (P <001 or P <005). Elderly pneumoconiosis group each Jin period longer than the control group, of which death cases Jin years compared with the control group were significantly different (P <0  01). The author believes that the elderly in Guangdong Province, X-ray images of the elderly to “q” shadow-based, elderly CWP “s” “t” -based. The “s” “t” shadow of pneumoconiosis patients with “q” shadow better prognosis. Those who are older in the promotion period are more likely to live longer.