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Toluene di‐isocyanate‐induced asthma II. Inhalation challenge tests and bronchial reactivity studies

机译:甲苯二异氰酸酯诱发的哮喘 II.吸入激发试验和支气管反应性研究

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SummaryIn sixty‐three workers exposed to toluene di‐isocyanate (TDI), no overall differences in bronchial reactivity to histamine inhalation and to exercise testing were found between the total groups of positive and negative TDI reactors to provocation tests. A subgroup of TDI highly sensitive subjects reacting to very low concentrations (≤0.001 p.p.m.) were more sensitive to both histamine and exercise than the group who were less sensitive to TDI, and who reacted to higher concentrations (0.002–0.02 p.p.m.) than the group of non‐reactors. There were, however, in the last group a number of subjects with high degrees of histamine reactivity who did not react to the TDI. These findings suggest that, on the one hand, the asthmatic reactions to TDI cannot be attributed solely to non‐specific mechanisms and, on the other, that in subjects with high degrees of specific sensitivity non‐specific mechanisms may also be p
机译:摘要在暴露于甲苯二异氰酸酯 (TDI) 的 63 名工人中,在激发试验的阳性和阴性 TDI 反应器总组之间,对组胺吸入和运动测试的支气管反应性总体差异。对极低浓度(≤0.001 p.p.m.)有反应的 TDI 高敏感受试者亚组对组胺和运动都比对 TDI 不太敏感的组更敏感,并且对更高浓度(0.002-0.02 p.p.m.)有反应的组比非反应器组。然而,在最后一组中,有许多组胺反应性高的受试者对TDI没有反应。这些发现表明,一方面,对TDI的哮喘反应不能仅仅归因于非特异性机制,另一方面,在具有高度特异性敏感性的受试者中,非特异性机制也可能是p

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