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Pneumoconiosis in Makers of Artificial Grinding Wheels Including a Case of Caplans Syndrome

机译:人工砂轮制造商的尘肺病包括一例卡普兰综合症

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摘要

Mass miniature radiography surveys in a factory producing artificial grinding wheels detected cases of pneumoconiosis, mostly of the silicotic type. All cases were traced to the department where the so-called “bond” is prepared and mixed with the abrasive grains of carborundum and artificial corundum. This ceramic-vitrified bond, similar in composition to English general earthenware, contained until recently a significant proportion of free silica.The miniature film survey was followed up by an investigation on full-sized films, in which 92% of all workers in the bond department participated. The radiographs were subjected to dual independent viewing and it was found that 66% of the men who had worked in the bond department for more than 10 years showed radiological evidence of pneumoconiosis with a high proportion of progressive massive fibrosis (P.M.F.)Recently the amount of free silica in the ceramic bond has been reduced by the introduction of “frits” in place of powdered flint and part of the factory has been rebuilt and new methods of dust suppression and dust extraction have been introduced. One of the cases presented with the rheumatoid-pneumoconiotic syndrome, first described by Caplan.It is suggested that some of the cases of pneumoconiosis, attributed to carborundum, may be due to the binding materials of artificial grinding wheels.
机译:在一家生产人造砂轮的工厂中进行的大量微型放射照相调查发现了尘肺病病例,其中多数是硅肺型。所有案例都追溯到准备所谓“粘结”的部门,并与金刚砂和人造刚玉的磨料颗粒混合。直到最近,这种陶瓷玻璃化的粘接剂的成分与英国的普通陶器相似,仍含有大量的游离二氧化硅。微型胶卷调查之后是对全尺寸胶卷的调查,其中胶粘剂的所有工人中有92%部门参加。射线照片经过双重独立检查,发现在邦德部门工作超过10年的男性中有66%表现出尘肺病的放射学证据,且进行性大块纤维化(PMF)的比例很高。通过引入“熔块”代替粉状火石,减少了陶瓷结合剂中的游离二氧化硅,并重建了部分工厂,并引入了抑尘和除尘的新方法。卡普兰首先描述了其中一例类风湿肺尘肺综合征,有人认为这是由于金刚砂引起的尘肺尘肺,这可能是由于人造砂轮的粘结材料所致。

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