职业性尘肺病患者并发症临床分析

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英文篇名：Clinical analysis of the complication in cases of occupational pneumoconiosis 作者：李颖 ; 张晓华 ; 罗光明 ; 严薇 ; 杨龙 英文作者：LI Ying;ZHANG Xiaohua;LUO Guangming;YAN Wei;YANG Long;Hunan Institute of Prevention and Treatment for Occupational Diseases; 关键词：尘肺病 ; 并发症 ; 肺部感染 ; 慢性阻塞性肺疾病 ; 肺源性心脏病 ; 肺结核 ; 呼吸衰竭 ; 气胸 英文关键词：Pneumoconiosis;;Complications;;Pulmonary infection;;Chronic obstructive pulmonary disease;;Pulmonary heart disease;;Tuberculosis;;Respiratory failure;;Pneumothorax 中文刊名：XYYX 英文刊名：China Occupational Medicine 机构：湖南省职业病防治院; 出版日期：2019-02-15 出版单位：中国职业医学 年：2019 期：v.46 基金：湖南省卫生计生委一般项目(B2014-136);; 湖南省225高层次卫生人才培养项目 语种：中文; 页：XYYX201901019 页数：3 CN：01 ISSN：44-1484/R 分类号：81-83

摘要

目的分析职业性尘肺病(以下简称"尘肺病")患者并发症发生情况。方法回顾性分析2013—2016年在湖南省职业病防治院住院治疗的2 067例尘肺病患者并发症的发生情况。结果 2 067例尘肺病患者中有1 002例出现并发症,检出率为48.5%;其中,合并肺部感染、慢性阻塞性肺疾病(COPD)、肺源性心脏病、肺结核、呼吸衰竭、气胸的检出率分别为26.8%、23.9%、11.7%、24.0%、9.4%、6.3%、3.8%。尘肺病壹期、贰期、叁期患者并发症检出率分别为39.2%、49.4%、66.0%;随着尘肺病期别的升高,尘肺病并发症检出率升高(P<0.01)。尘肺病合并肺部感染、COPD、肺源性心脏病、呼吸衰竭、气胸的检出率均随着尘肺病期别的升高而升高(P<0.01)。结论尘肺病患者并发症的检出率较高,且随着尘肺病期别的升高而升高;应早期预防和治疗并发症。
        Objective To analyze the incidence of complications of occupational pneumoconiosis. Methods A retrospective analysis was carried out to investigate the incidence of complications in 2 067 cases of occupational pneumoconiosis in Hunan Institute of Prevention and Treatment for Occupational Diseases from 2013 to 2016. Results The detection rate of complications of occupational pneumoconiosis was 48.5%(1 002/2 067). Among them, detection rates of pneumoconiosis complicated with lung infections, chronic obstructive pulmonary disease(COPD), pulmonary heart disease, tuberculosis, respiratory failure and pneumothorax were 26.8%, 23.9%, 11.7%, 24.0%, 9.4%, 6.3% and 3.8%, respectively. The detection rates of complications of pneumoconiosis stage 1, stage 2 and stage 3 were 39.2%, 49.4% and 66.0%, respectively. The detection rate of complications increased with the increasing stage of pneumoconiosis(P<0.01). The detection rates of pneumoconiosis complicated with lung infections, COPD, pulmonary heart disease, respiratory failure and pneumothorax increased with the increasing stage of pneumoconiosis(P<0.01). Conclusion The detection rate of complication in pneumoconiosis patients is high, and it increases with the increasing stage of pneumoconiosis. Early prevention and treatment should be carried out for complications of pneumoconiosis.

引文

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