Value of roentgenologic examination in diagnostics of pneumoconiosis associated with chronic obstructive pulmonary disease in workers of the mining and metallurgical industry.
DOI:
https://doi.org/10.26641/2307-0404.2019.1.162306Ключові слова:
pneumoconiosis, chronic obstructive pulmonary disease, radiography, thoraxАнотація
The aim of the research is to study the peculiarities of changes in the chest on survey radiograph at pneumoconiosis associated with COPD in workers of mine and metallurgical industry. The data of clinical examination of 635 workers with lung pathology of occupational genesis are presented in the article. Group I consisted of 99 workers with pneumoconiosis associated with COPD, II group – of 21 workers with pneumoconiosis, and III group – of 515 workers with COPD of occupational etiology. A comparative analysis of radiographic changes in the chest X-ray has established that the most informative radiologic changes for pneumoconiosis associated with COPD are: linear reticular obscuration up to 1.5 mm in size, cord obscuration from 1.5 to 3.0 mm in size, and less significant changes in the form of nodules size up to 1.5 mm, from 1.5 to 3.0 mm, the thickening of pleura more than10.0 mmwide. The most sensitive radiographic signs typical for PC associated with COPD are the indicated obscurations and nodules, their etiological share in diagnosis of this disease is 100%, determining the greatest absolute risk of development of this occupational pathology in this category of patients. The revealed X-ray diagnostic criteria allow to conduct timely diagnostics, define the tactics of treatment and prevention of PC associated with COPD in workers of mining and metallurgical industry.
Посилання
Abrosimov VN. [Chronic obstructive pulmonary disease and pneumosclerosis as another phenotype]. Pulmonologiya. 2012;4:95-99. Russian. doi: https://doi.org/10.18093/0869-0189-2012-0-4-95-99
Vlasov VG, Laptev VYa. [The possibilities of using radiography and computed tomography of high resolution in the clinic of pneumoconiosis]. Meditsina truda i promyshlennaya ekologiya. 2011;10:13-16. Russian.
Krasnyuk OP, Tkach SI, Kovalchuk TA. et al. [Application of pneumoconiosis classification inUkraine: Guidelines]. Kyiv. 2002;15. Ukrainian.
Kosarev VV. [Dusty lung or dust pulmonary disease]. Gigiyena truda i professionalnye zabolevaniya. 2009;8:34-39. Russian.
Kotlyarov PM. [Modern radiation diagnostics of pulmonary diseases]. Bolezni organov dykhaniya. 2004;1:31-35. Russian.
Malashenko AV. [On the relationship between pneumoconiosis and dust bronchitis in the formation of lung pathology]. Meditsina truda i promyshlennaya ekologiya. 2006;1:22-26. Russian.
Ornishchak EYu, Ablamunets KYa. [Evaluation of roentgenologic examination at occupational diseases]. Meditsina truda i promyshlennaya ekologiya. 2001;10:39-42. Russian.
Kundiev YuI, Basanets AV. [Pneumoconiosis: epidemiology, early diagnostics, prevention]. Kyiv, Avitsena. 2012;192. Ukrainian.
[Order of the Ministry of Public Health of Ukraine dated June 27, 2013 No. 555. On Approval and Implementation of Medical-Technological Documents for the Standardization of Medical Assistance in Case of Chronic Obstructive Pulmonary Disease]. Kyiv. 2013;146.
[Guidance for assessing occupational health risks for workers. Organisational and methodological foundations, principles and criteria for evaluation. Rukovodstvo]. Moskva. 2003;24. Russian.
Shpagina L, Poteryaeva EL, Kotova OS. et al. [Actual problems of pulmonology in modern occupational pathology]. Meditsina truda i promyshlennaya ekologiya. 2015;9:11-14. Russian.
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Poket guide to COPD diagnosis, management and prevention. [Internet]. Update. 2017; 14. Available from: http://www.goldcopd.org/uploads/-users/files/GOLD _Report_ 2017 Jan23.pdf
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