| 摘 要: 收集4例疑似1-溴丙烷中毒患者资料，对1-溴丙烷接触情况、发病过程、临床表现和神经-肌电图变化以及治疗经过进行分析。本组资料中3例以感觉性共济失调表现起病，神经-肌电图均显示不同程度和范围的运动和/或感觉神经的轴突变性和/或脱髓鞘变性。提示1-溴丙烷中毒可能侵犯脊髓中枢神经及远端末梢神经，表现为以感觉性共济失调为主的多发性周围神经病或脊髓病变。 |
| 关键词: 职业中毒 1-溴丙烷 神经损伤 |
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中图分类号: R135.1
文献标识码:
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| 基金项目: 国家职业病临床重点专科建设项目(WY2011873); 深圳市重大职业病诊治实验室建设项目(CXB201111250112A) |
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| Clinical analysis on 4 cases of suspected 1-bromopropane poisoning |
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WANG Qian,LI Hai ying,JIN Yu lan,YAO San qiao,JIANG Shou fang,SHEN Fu hai,BAI Yu ping,CHEN Tong
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School of Public Health,North China University of Science and Technology,Tangshan 063000,China
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| Abstract: To investigate the sources of surgeons job stress. Methods Job stress measuring tool was used to measure the job stress factors,such as age,sex,educational level,average weekly working hours etc. The cluster sampling method was used for the survey.SPSS 16.0 software was used in statistics analysis for t test,chi square test, analysis of variance and multiple stepwise regression analysis. Results The results showed that the scores of surgeon group in job requirement,job risk,job responsibility and physical environment were higher than that of the control group,while the scores in job conflict and role strain were lower;the scores of physical environment,work conflicts and behavior in Grade Ⅲ Class A hospital were higher than that in Grade Ⅱ Class A hospital,and job hazards,job prospects and job locus control were lower.The score of job risk of surgons with weekly working time>40 h was higher than that with weekly working time ≤40 h,but the score of job conflict was lower. Conclusion This study showed that the main stress sources of surgeons were the high hospital rank,high work requirements, heavy job responsibility, job conflicts, and tense doctor patient relationship |
| Keywords: job stress job stress sources surgeon |
