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近两年来,有些兄弟单位提出:有网状肺纹理,结合其他材料,即使没有矽肺结节,也可以诊断矽肺。关于这个问题,有不同的看法和争论。这可能与每个同志所处的环境有关,如果粉尘浓度高、粉尘中含游离二氧化矽多的,则以结节改变为主。如果粉尘浓度低、粉尘中含游离二氧化矽少的,则结节不十分明显,因此倾向于网纹也可以诊断矽肺,有些尸检材料也支持达一论据。随着防尘工作的进展,粉尘浓度日益下降,间质型矽肺会越来越多,早期诊断有一定困难,有待于今后进行探讨。
In the past two years, some fraternal units have proposed: reticulocyte texture, combined with other materials, can diagnose silicosis even without silicosis. There are different opinions and arguments on this issue. This may be related to the environment in which every comrade lives. If the concentration of dust is high and there is more free silica in the dust, the nodules will change. If the dust concentration is low, the dust contains less free silicon dioxide, the nodules are not very clear, so tend to trace the silicosis can also be diagnosed, and some autopsy materials also support an argument. With the progress of dustproof work, the dust concentration is declining, interstitial silicosis will be more and more, there are some difficulties in the early diagnosis, to be explored in the future.