论文部分内容阅读
目的了解和掌握新疆乌鲁木齐市某耐火材料厂矽肺患者的心电图表现情况,为进一步的康复治疗提供科学依据。方法依据国家《职业健康监护技术规范》(GBZ188-2007)和《尘肺病诊断标准》(GBZ70-2009)的要求,对乌鲁木齐市某耐火材料厂接触粉尘的劳动者进行职业健康检查。结果在进行职业健康检查的134例矽肺患者中,心电图异常107人,占79.8%(107/134);心电图异常多表现为窦性心动过速、肺型P波、右室肥厚、电轴偏移、肢体低电压、不完全性右束支传导阻滞、完全性右束支传导阻滞等。结论 2期、3期矽肺患者ST-T改变和电轴偏移的检出率明显高于1期矽肺患者的检出率,应引起企业领导者们的重视。
Objective To understand and master the electrocardiogram of silicosis patients in a refractories plant in Urumqi, Xinjiang, and to provide a scientific basis for further rehabilitation. Methods According to the requirements of the National Technical Code for Occupational Health Monitoring (GBZ188-2007) and the Diagnostic Criteria for Pneumoconiosis (GBZ70-2009), occupational health examination was conducted on workers exposed to dust in a refractories factory in Urumqi. Results Among the 134 silicosis patients who underwent occupational health examinations, 107 were abnormal ECGs, accounting for 79.8% (107/134). The abnormal electrocardiogram showed sinus tachycardia, pulmonary P wave, right ventricular hypertrophy, axial deviation Shift, limb low voltage, incomplete right bundle branch block, complete right bundle branch block and so on. Conclusions The detection rate of ST-T changes and electrical axis deviation in patients with stage II and stage III silicosis is significantly higher than that of patients with stage I silicosis, which should be taken seriously by the leaders of enterprises.