Occupational lung disease: when should I think of it and why is it important?
Occupational lung disease: when should I think of it and why is it important?
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DOI：
10.1183/20734735.0002-2023
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发表时间：
2023-06
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
在工作场所接触有毒吸入剂有可能导致（易感个体）几乎任何主要类型的肺部疾病，如哮喘、慢性阻塞性肺病和肺间质性疾病。患有职业性肺病的患者通常会向没有接受过职业性呼吸医学培训的呼吸系统专家就诊或接受治疗，患者（或其临床医生）可能无法确定其疾病与当前或过去工作之间的联系。如果不了解存在的各种不同的职业性肺病，不了解它们与非职业肺病的相似性，也不了解没有直接的询问，这些疾病可能无法确定。职业性肺病患者往往从事报酬较低的工作，受到健康不平等的严重影响。如果及早发现病例，临床和社会经济结果通常都会得到改善。这允许就持续接触的风险、临床管理、职业流动性以及在某些情况下获得法律赔偿的资格提供适当的建议。作为呼吸专业人士，重要的是不要错过这些病例，如果需要，与具有专业知识的医生讨论。在这里，我们描述了一些最常见的职业性肺病，并概述了诊断和治疗方法。职业性肺病常被忽视。肺科医生应该评估职业和环境暴露是导致或促成几乎所有主要呼吸系统疾病的原因，以确保患者获得最佳结果。https://bit.ly/3Uy8qQe
Exposure to toxic inhalants in the workplace has the potential to cause (in susceptible individuals) almost any major type of lung disease, such as asthma, COPD and interstitial lung diseases. Patients with occupational lung disease will often present to or will be managed by respiratory specialists without training in occupational respiratory medicine, and patients (or their clinicians) may not identify a link between their disease and their current or a past job. Without an awareness of the range of different occupational lung diseases that exist, their similarity to their non-occupational counterparts, and without directed questioning, these conditions may go unidentified. Patients with occupational lung diseases are often in lower paid work and are disproportionally affected by health inequality. Both clinical and socioeconomic outcomes generally improve if cases are identified early. This allows appropriate advice to be given about the risks of ongoing exposure, clinical management, occupational mobility and, in some cases, eligibility for legal compensation. As respiratory professionals, it is important that these cases are not missed, and if needed, are discussed with a physician with specialised expertise. Here we describe some of the most common occupational lung diseases and outline the diagnostic and treatment approach. Occupational lung diseases are often missed. Pulmonologists should assess occupational and environmental exposures as causes or contributors to virtually all cases of major respiratory diseases to ensure the best outcomes for their patients. https://bit.ly/3Uy8qQe
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影响因子：
10.4
作者：
Lioy PJ;Weisel CP;Millette JR;Eisenreich S;Vallero D;Offenberg J;Buckley B;Turpin B;Zhong M;Cohen MD;Prophete C;Yang I;Stiles R;Chee G;Johnson W;Porcja R;Alimokhtari S;Hale RC;Weschler C;Chen LC
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DOI：
10.1164/ajrccm.160.4.9811074
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DOI：
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发表时间：
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影响因子：
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DOI：
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发表时间：
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影响因子：
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