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坑道工程人員罹患矽肺症之病例報告

Silicosis in a Tunnel Construction Sapper: A Case Report

摘要


矽肺症造成的主要原因是因為吸入含有二氧化矽的粉塵,因而在肺部造成纖維化的病變。在我國台灣地區以往所報告的矽肺症病例當中,較多見於礦場或是石碑雕刻等相關行業的人員,至於參與坑道工程的人員則較為少見。本文報告一位在20餘歲時曾在離島參與一些坑道的興建工程;胸部X光檢查依國際勞工聯盟1980年的分類為第三型(q, 3/3);並且病人在那段期間的前後並未曾接觸過其他相關的行業。因此是因為坑道工程而罹患矽肺症的病例。

並列摘要


The cause of silicosis is inhalation of silicon dioxide, or silica, in crystalline form and the subsequent reaction of lung parenchyma to the silica dust. Silicosis is popular in miners and tombstone sculptors, but rare by reports in tunnelers in Taiwan. We report a case of silicosis developed in a sapper, who participated in the tunnel construction in Kinmen during military service. Chest X-ray revealed pneumoconiosis type Ⅲ (q, 3/3) based on Guidelines for the use of ILO international classification of radiographs of pneumoconiosis (1980). He was never employed in other work with potential exposure to silica before and after military service. Therefore, this is a case of silicosis due to tunnel work.

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