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{常见的职业性金属中毒}
职业接触中比较常见的金属中毒有:铅、锰、汞、砷等等。
工业场所中所用的铅约40%为金属铅,35%为铅化合物,25%为合金铅,常见的行业及工种有铅矿开采、金属冶炼、熔铅;印刷业的胶版、铸字、铅丝、铅箔、铅管、铅槽、蓄电池、部分油漆、部分染料、防锈漆、玻璃、陶瓷等。长期慢性接触可引起慢性铅中毒,早期常感乏力、口内金属味,肌肉关节痛等,随后出现神经衰弱综合症、食欲不振、腹部隐痛、便秘等,少数牙龈边缘可有蓝黑色铅线,随着作业工龄的增加和病情的进展,可累及多个系统。可有肌运动无力、外周痛觉减退、肢体麻木、蚁走感、精神障碍、噩梦、剧烈头痛、癫痫样发作及意识障碍等脑损害症状。消化系统可表现为口中金属味,食欲不振,恶心、腹胀、腹痛、便秘或腹泻,严重时可表现为急腹症,容易误诊为急性阑尾炎、急性肠梗阻,一般止痛药不易缓解。造血系统可表现为贫血。女性表现为月经异常、流产或早产。出现上述情况时可检查血铅、尿铅、锌原卟啉等,治疗首选依地酸二钠钙。轻度铅中毒一般不留有后遗症。
电焊工工种较常见职业病有急性电光性眼炎、锰尘肺、职业性慢性锰中毒。工作中如果不注意使用面罩,可引起电光性眼炎(如平时我们常用俗语:打着眼了),可出现流泪、眼痛、畏光、结膜充血等,可用的卡因滴眼减轻角膜刺激症状,抗生素预防感染即可痊愈,一般不遗留后遗症。
开采雄、雌黄等含砷的矿石及冶炼炉的烟道灰或矿渣,含砷农药、合金的制造等均可接触砷及砷化物,职业中毒主要通过呼吸道吸收引起急慢性砷中毒,表现为呼吸系统神经系统、皮肤、肾脏等病变,驱砷治疗有效。
其他职业长期慢性接触金属及其化合物种类还有铝、铬、镉、铜、镍、锡、铊、钡等,它们分别对不同的脏器造成损害,如果出现中毒症状,应及时到职业病专科进行诊治,以免延误病情。
自由空间 2012-7-31 14:12:00 | 阅读全文 | 回复(16) | 引用通告 | 编辑
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