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预防医学  2022, Vol. 34 Issue (3): 294-296    DOI: 10.19485/j.cnki.issn2096-5087.2022.03.016
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
一起养殖场职业性接触性皮炎事件调查
刘保峰1, 秦汝男1, 李旭东1, 朱君2, 曾强1
1.天津市疾病预防控制中心职业病预防控制室,天津 300011;
2.天津市中医药研究院附属医院,天津 300120
Investigation on an incident of occupational contact dermatitis in a farm
LIU Baofeng1, QIN Runan1, LI Xudong1, ZHU Jun2, ZENG Qiang1
1. Department of Occupational Disease Control and Prevention, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China;
2. Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine, Tianjin 300120, China
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摘要 目的 调查天津市某养殖场一起职业性接触性皮炎事件的致病原因,加强相关职业防护。方法 通过卫生学调查收集该养殖场的消毒流程、消毒剂和人员防护措施;开展现场流行病学调查收集患者基本信息、职业接触史、临床症状和诊疗资料,以及同工种人员既往发病情况;分析事件发生的原因。结果 该养殖场同期10名实习生接触过硫酸氢钾复合物消毒剂,9人出现周身皮肤潮红、肿胀伴瘙痒症状,其中5人因症状较重就诊,临床诊断为系统性接触性皮炎,经治疗后均痊愈出院。卫生学调查发现,患者均有明确的过硫酸氢钾复合物消毒剂职业接触史,且未使用防护用品;该养殖场35名同工种员工初次从事该消毒工作时,也曾出现类似症状,停止接触后自愈,再次接触后症状复发。结论 该事件为一起接触过硫酸氢钾复合物消毒剂引起的职业性接触性皮炎聚集性发病事件。
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刘保峰
秦汝男
李旭东
朱君
曾强
关键词 养殖场消毒剂过硫酸氢钾接触性皮炎    
AbstractObjective To investigate the cause of an incident of occupational contact dermatitis in a farm in Tianjin Prefecture, so as to provide insights into occupational safety. Methods The disinfection process, use of disinfectants and individual protective measures in this farm were collected, and a field epidemiological investigation was conducted to collect the demographic characteristics, history of occupational contact, clinical symptoms, diagnosis and treatment data, and onset of disease among individuals with the same type of job. The cause of this incident was analyzed. Results There were ten interns exposed to potassium hydrogen sulfate compounds simultaneously in this farm, and then, nine interns developed skin flushing across the body, and swelling and itching of the skin. Among these ten interns, five individuals were admitted to hospitals because of severe symptoms and were then clinically diagnosed as systemic contact dermatitis. All five individuals were cured following treatments. Epidemiological survey showed that all cases had a definite history of occupational contact with potassium hydrogen sulfate compounds but without use of any protective agents. In addition, there were thirty-five individuals with the same type of job in this farm that developed similar symptoms when they joined in the disinfection for the first time, and these individuals were self-cured following cessation to contact; however, recurrence of symptoms was found following contacts again. Conclusion This is a cluster of occupational contact dermatitis caused by exposure to potassium hydrogen sulfate compound.
Key wordsfarm    disinfectant    potassium hydrogen sulfate    contact dermatitis
收稿日期: 2021-09-09      修回日期: 2021-12-31      出版日期: 2022-03-10
中图分类号:  R134  
基金资助:天津市卫生健康科技项目(ZC20084); 天津市医学重点学科(专科)建设项目(2021)
通信作者: 曾强,E-mail:tjcdczys@163.com   
作者简介: 刘保峰,硕士,高级工程师,主要从事职业病危害因素识别、检测和职业中毒调查处置工作
引用本文:   
刘保峰, 秦汝男, 李旭东, 朱君, 曾强. 一起养殖场职业性接触性皮炎事件调查[J]. 预防医学, 2022, 34(3): 294-296.
LIU Baofeng, QIN Runan, LI Xudong, ZHU Jun, ZENG Qiang. Investigation on an incident of occupational contact dermatitis in a farm. Preventive Medicine, 2022, 34(3): 294-296.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.03.016      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I3/294
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