司徒洁, 张健杰, 邱少宏, 邓立华, 杨新跃, 朱德香, 郭美琼. 深圳市2006~2011年三氯乙烯药疹样皮炎流行病学调查[J]. 职业卫生与应急救援, 2013, 31(3): 119-121.
引用本文: 司徒洁, 张健杰, 邱少宏, 邓立华, 杨新跃, 朱德香, 郭美琼. 深圳市2006~2011年三氯乙烯药疹样皮炎流行病学调查[J]. 职业卫生与应急救援, 2013, 31(3): 119-121.
SITU Jie, ZHANG Jian-jie, QIU Shao-hong, DENG Li-hua, YANG Xin-yue, ZHU De-xiang, GUO Mei-qiong. Epidemiological and clinical features of occupational medicamentosa-like dermatitis induced by trichloroethylene in Shenzhen from 2006 to 2011[J]. Occupational Health and Emergency Rescue, 2013, 31(3): 119-121.
Citation: SITU Jie, ZHANG Jian-jie, QIU Shao-hong, DENG Li-hua, YANG Xin-yue, ZHU De-xiang, GUO Mei-qiong. Epidemiological and clinical features of occupational medicamentosa-like dermatitis induced by trichloroethylene in Shenzhen from 2006 to 2011[J]. Occupational Health and Emergency Rescue, 2013, 31(3): 119-121.

深圳市2006~2011年三氯乙烯药疹样皮炎流行病学调查

Epidemiological and clinical features of occupational medicamentosa-like dermatitis induced by trichloroethylene in Shenzhen from 2006 to 2011

  • 摘要: 目的了解深圳市职业性三氯乙烯药疹样皮炎的流行病学及临床特点,为进一步预防与临床研究提供资料。方法对深圳市2006~2011年发病的职业性三氯乙烯药疹样皮炎病例进行回顾性调查,收集调查资料,建立Excel数据库进行统计分析。结果深圳市2006~2011年发病并诊断的TCE疹样皮炎患者84人,虽发病人数自2006年起逐年减少,但经趋势卡方检验无统计学意义;每年4月、7月及8月发病人数较多,2月发病人数最少。临床表现以皮疹、发热及肝损害为主,少数表现可不典型;激素治疗(83±39) d,院内感染及并发症发生率57%;治愈及好转率96.4%,死亡率3.6%。结论2006~2011年间,深圳市职业性三氯乙烯药疹样皮炎发病人数逐年下降;高发于春节后及暑假期间;死亡率较以往报告明显减低;院内感染及并发症发生率较高,成为导致患者死亡的主要原因。

     

    Abstract: Objective This article aims at understanding epidemiological and clinical features of occupational medicamentosa-like dermatitis induced by trichloroethylene(OMLDT),and provide orientation for further clinical studies and prophylaxis. Methods OMLDT cases that occurred in from 2006 to 2011 in Shenzhen were surveyed. Results There were 84 OMLDT cases diagnosed in Shenzhen from 2006 to 2011. With the time going, the number of diagnosed cases seemed decreasing, but there were no statistical significance from year to year. More cases were diagnosed in April, July and August and fewer cases in February (usually Chinese new year festivals). The major clinical manifestations were exanthemata, pyrexia and hepatic lesion. The cases received the hormonotherapy for 83 ±39 days. 57% cases were reported with nosocomial infection and complications. The recovery rate was 96.4%, with fatality 3.6%. Conclusion The fatality of occupational trichloroethylene medicamentosa-like dermatitis is decreasing and high nosocomial infection and complication rates pose as the major causes leading to the death.

     

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