Asbestos Related Pleural Plaques in Retired Boiler Room Workers

退休鍋爐工人之胸膜斑

蕭添木(Tien-Mu Hsiao) ； 何啟功(Chi-Kung Ho) ； 蘇旺彬(Wang-Pin Su) ； 黃吉志(Jhi-Jhu Hwang) ； 蔡米山(Mee-Sun Tsai) ； 周騰達(Tang-Tat Chau) ； 盧勝男(Sheng-Nan Lu) ； 張文宇(Wen-Yu Chang)

《The Kaohsiung Journal of Medical Sciences》 9卷2期 (1993/02) Pp. 74-79

https://doi.org/10.6452/KJMS.199302.0074

摘要

胸膜斑是石綿暴露之標記，本院發現一胸膜斑病例，個案為71歲男性的退休鍋爐工人，追蹤另5名退休工人，又發現四相同病例。五病例皆無臨床狀。同廠區在職248位員工之胸部X光，並未發現有膜斑。至工廠調查發現其工作場所長期使用混合石綿之耐火泥作為火爐內壁及管線防熱之用，現場並儲有石綿料，推測這些工人之胸膜斑是石綿暴露引起。建議應限制石綿之使用並定期追蹤有石綿暴露史之工人的健康問題。

並列摘要

Occupational disease is often underestimated and only a few formal report have been published in Taiwan. This study reports of a group of workers with asbestos-induced-disease, pleural plaque in Taiwan. Pleural plaque is a marker of exposure to asbestos. The disease was found in chest radiographs of five boiler room workers in a sugar refining factory. The chest radiographs of 248 current workers in that plant were reviewed, and none of them was found to have pleural plaques. The storage of asbestos and the long-time use of mixed asbestos cement for insulation of the inner wall of the stove and pipes were found in the factory. The authors believe that the pleural plaques might be resulted from occupational exposure to asbestos. It is suggested that the use of asbestos should be prohibited, step by step, and regular follow-up of the workers with an asbestos exposure history is required.

並列關鍵字

pleural plaque ； asbestos