摘要
國人職業性塵肺症的病例中，以煤礦工人塵肺症居多，矽肺症則有零星的報告。對於可能導致矽肺症的行業，系統性的調查較為不足。本研究的目的在瞭解石作工人這一族群矽肺症的罹病情形，以利進一步職業醫學照護工作的開展。本研究採橫斷性研究設計，以問卷、理學檢查、肺功能測驗，和胸部X光，對中部某縣石作工會的會員進行調查。調查期間為民國八十五年五月和六月，總樣本數30人。研究結果顯示其中18位從事石雕工作者，6人符合職業性矽肺症的認定基準，包括胸部X光呈現國際勞工局1980年分類中圓形小陰影，分佈1/1或以上的變化。3位未直接從事雕刻的人，以及石材切割加工者，並無矽肺症的胸部X光變化。關淤動力雕刻所產生的粉塵暴露與矽肺症的可能關係，需要進一步探討。由於使用動力工具是目前通行的工作方式，其安全性牽涉到這一代石作業者未來的健康。
並列摘要
Among occupational lung diseases in Taiwan, coal workers' pneumoconiosis comprises the largest group, while si1kosis is only occasionally reported. A systematic investigation of occupations, other than mining, which pose hazards of silicosis is not available. The aim of this study lies in discovering the prevalence of silicosis among stone workers, so that occupational health program can be implemented if necessary. This cross-sectional study is based on questionnaire, physical examination, pulmonary function test, and chest X-ray of the thirty members of The Union of Stone Workers in one precinct in central Taiwan. The results show that, among 18 stone-sculptors, 6 suffer from silicosis. 3 helpers without direct engagement in cutting do not demonstrate rontgenologic al evidence of silicosis. The remaining 9 stone workers are also healthy in this regard. The question whether power-driven tools generate sufficiently large amount of dust to cause silicosis remains to be answered. This issue is so much relevant as current stone-sculptors use power tools and their health will be endangered if the operation is responsible for the silicosis of those who have already had the disease.
延伸閱讀
- 李才宇、蘇文麟、張冠民、陳永煌、劉紹興（1999）。坑道工程人員罹患矽肺症之病例報告。中華職業醫學雜誌，6(3)，213-217。https://doi.org/10.30027/CJOM.199907.0004
- 左鐵錚（1972）。職業病：塵肺矽肺。工業安全衛生，(3)，57-62。https://www.airitilibrary.com/Article/Detail?DocID=P20160805002-197205-201612020001-201612020001-57-62
- 錢曾麟（1984）。矽肺症及其法規之研討。工業安全衛生，(53)，40-42。https://www.airitilibrary.com/Article/Detail?DocID=P20160805002-198411-201608300010-201608300010-40-42
- 王映權、王鐘慶、邱俊翔、林易申、吳世偉、劉紹興、高東煒（2012）。疑似牆體拆除作業相關之矽肺症個案報告。中華職業醫學雜誌，19(2)，115-120。https://doi.org/10.30027/CJOM.201204.0007
- 施永豐、林隆光（1986）。Stereoacuties in Anisometropes。中華民國眼科醫學會雜誌，25(2)，663-667。https://doi.org/10.30048/ACTASOS.198605.0116