摘要
目的:分析煤工尘肺病患者的临床特征及死亡原因,为预防尘肺病患者病情恶化和改善预后提供参考。方法:回顾性分析本院2019年收治的212例煤工尘肺病男性患者,比较存活组与死亡组临床资料的差异。结果:本研究尘肺病病死率为33.49%(71/212)。与存活组相比,死亡组年龄更大、体重更轻、接尘时间和烟龄更长,合并症发生率更高,肺功能更差,差异均有统计学意义(均P<0.05)。71例煤工尘肺病死亡患者中,心跳骤停12例、呼吸衰竭29例、肺部继发感染30例。死亡患者年龄在70~90岁,接尘时间和烟龄多在30年左右,尘肺病分期多为1、2期,主要合并症为慢性支气管炎、慢性阻塞性肺气肿、慢性肺源性心脏病。结论:煤工尘肺病患者病死率仍较高,死亡原因主要为心跳骤停、呼吸衰竭和肺部继发感染;70~90岁,接尘约30年的1、2期尘肺病患者死亡风险高,应加强合并症的临床管理。
Objective:To analyze the clinical characteristics and death causes of coal workers with pneumoconiosis,and provide reference for preventing the deterioration of pneumoconiosis and improving the prognosis.Methods:The clinical data of 212 male coal workers with pneumoconiosis admitted to our hospital in 2019 were retrospectively analyzed,and the differences between the survival group and the death group were compared.Results:The mortality of pneumoconiosis in this study was 33.49%(71/212).Compared to the survival group,the patients in the death group were more elderly that had lighter weight,longer dust exposure time and smoking time,higher incidence of complications and worse lung function(all P<0.05).The death causes of 71 coal workers with pneumoconiosis were cardiac arrest in 12 cases,respiratory failure in 29 cases and secondary pulmonary infection in 30 cases.The results suggested that most of the dead were aged 70 to 90 years old,the dust exposure time and smoking age were about 30 years,pneumoconiosis mainly concentrated in stage 1 and 2,and the main complications were chronic bronchitis,chronic obstructive emphysema,and chronic pulmonary heart disease.Conclusion:The mortality rate of coal workers with pneumoconiosis is still high,and the main causes of death are cardiac arrest,respiratory failure,and secondary pulmonary infection.Pneumoconiosis patients in stage 1 or 2,aged 70 to 90 years old,with dust exposure time about 30 years,may have high risk of death,which indicates clinical management of complications should be strengthened.
作者
李雅惠
张云云
李建军
李宏艳
封永顺
Li Yahui;Zhang Yunyun;Li Jianjun;Li Hongyan;Feng Yongshun(Department of Occupational Diseases,General Hospital of Beijing Coal Mining Group Co.,Ltd,Beijing 102308,China;Intensive Care Unit,General Hospital of Beijing Coal Mining Group Co.,Ltd,Beijing 102300,China)
出处
《巴楚医学》
2021年第2期41-45,共5页
Bachu Medical Journal
关键词
尘肺病
煤工
心跳骤停
呼吸衰竭
肺部继发感染
pneumoconiosis
coal workers
cardiac arrest
respiratory failure
secondary pulmonary infection
