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1 病历摘要患者,男性,40岁,氧化铍生产车间维修工,自1972年11月接触铍尘,共6年。车间铍尘浓度0.05mg/m~3,超标50倍。自1976年始出现咳嗽,咯白色粘液痰,偶带血丝,活动后明显气喘,胸部隐痛,食欲减退,消瘦,乏力。同时,四肢、躯干皮肤出现10多个黄豆大硬节,不红、不痒,压之不痛。给予消炎、止咳和皮质激素治疗,结节消失,症状好转。1978年脱离铍作业,但经常咳嗽、气喘,并呈进行性加重。1985年经兰州市职防院诊断为“铍尘肺Ⅱ期”,其后断断
Patient, male, 40 years old, Beryllium oxide workshop repair worker, exposed to beryllium dust since November 1972 for 6 years. Workshop beryllium dust concentration 0.05mg / m ~ 3, exceeded 50 times. Since the beginning of 1976 cough, slightly sticky phlegm, even with bloodshot eyes, obviously asthma after activity, chest pain, loss of appetite, weight loss, fatigue. At the same time, limbs, trunk skin appears more than 10 hard nibs, not red, itch, pressure of the pain. Give anti-inflammatory, cough and corticosteroid treatment, nodules disappear, the symptoms improved. In 1978 out of beryllium operations, but often cough, asthma, and was progressive increase. In 1985 by Lanzhou Municipal Hospital for diagnosis of “Beryllium pneumoconiosis stage Ⅱ”, then off