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LONG TERM PHYSIOPATHOLOGICAL CHANGES IN PROFESSIONAL DIVERS – A LONGITUDINAL STUDY

机译:专业人士的长期生理病理变化-纵向研究

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In this study we have performed a retrospective survey of the records of blood biochemistry for a group of 16 professional divers in the “Divers Centrum of Constan?a”, over a 10 years period (2001–2010). In saturation diving, we have found progressive changes in serum enzymes and oxidative stress markers, suggesting a subclinical hepatic injury, as well as a progressive change of blood thyroxin (T4), triiodothyronine (T3) and thyroid-stimulating hormone (TSH) concentrations, indicating either a thyroid or a hepatic malfunction. Although the mean changes are not exceeding the upper or bottom normal limits of the considered biochemical parameters, that means they do not constitute a clinical alarm signal, they can lead to long term health effects which are to be considered in the interest of this workers category. The individual responses of the divers group which showed an enzymes concentration increase which exceeded the upper normal values in blood, can signalise an increased hyperbaric stress and it is advisable to follow more rigorously the health state of these individuals. The cumulative effect of the sub-clinical microlesions has to be considered as a potential risk of this professional category and has to be studied in order to decide if a professional disease is to be established.
机译:在这项研究中,我们对“康斯坦萨斯潜水中心”中的16名专业潜水员进行了为期10年(2001-2010年)的血液生化记录的回顾性调查。在饱和潜水中,我们发现血清酶和氧化应激标志物逐渐变化,提示亚临床肝损伤,以及血甲状腺素(T4),三碘甲状腺素(T3)和促甲状腺激素(TSH)浓度逐渐变化,表明甲状腺或肝功能不全。尽管平均变化不超过所考虑的生化参数的正常上限或下限,这意味着它们不构成临床警报信号,但它们可能导致长期的健康影响,因此应对此工人类别进行考虑。潜水员小组的个人反应显示酶浓度增加超过血液中的正常上限值,可能预示着高压应激的增加,建议更严格地遵循这些人的健康状况。亚临床微病变的累积效应必须被视为该专业类别的潜在风险,并且必须进行研究以决定是否要建立专业疾病。

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