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本文集中我国各地区1960-1990年接尘工人尸检1000例,以非接尘男性尸检612例做对照,对尘肺肺癌的发病率和病理进行分析研究。结果:(1)接尘工人尸检肺癌发病率为17.2%,比对照组(3.16%)显著超高,占全身各器官癌病之首;(2)石棉肺尸检肺癌率最高(26.92%),矽肺(18.5%)与煤工尘肺(16.79%)相近;(3)职业上,煤矿、金属矿和石棉矿是我国尘肺肺癌的三大主要工种,接尘工龄以11～20年段发病最多(55.1%);(4)病理类型依次为腺癌(含肺泡细胞癌)、鳞癌、未分化癌,其中石棉肺一半以上为腺癌。
This article focuses on the autopsy of dust-pick-up workers from 1960 to 1990 in all regions of our country. One hundred and sixty-one autopsy samples from non-cadmium-exposed men were used as controls to analyze the incidence and pathology of pneumoconiosis. Results: (1) The incidence of lung cancer in autopsy workers was 17.2%, significantly higher than that in control group (3.16%), accounting for the first place in all organs of the body. (2) The lung cancer rate of asbestos lung autopsy was the highest (26.92% (3) occupationally, coal mines, metal mines and asbestos mines are the three major types of pneumoconiosis in our country. The most common type of pneumoconiosis (11.8% 55.1%). (4) Pathological types were adenocarcinoma (including alveolar cell carcinoma), squamous cell carcinoma and undifferentiated carcinoma, of which more than half of asbestosis was adenocarcinoma.