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首页> 外文期刊>Occupational and environmental medicine >Defining occupational asthma and confirming the diagnosis: what do experts suggest?
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Defining occupational asthma and confirming the diagnosis: what do experts suggest?

机译：定义职业性哮喘并确诊：专家建议？

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摘要

Questionnaires administered in general populations have shown that about 10-15% of subjects with asthma report that their asthma is worse at work.1 A proportion of these subjects may show what is called occupational asthma (OA)-that is, asthma caused by an agent inhaled at work. It is important to confirm or exclude a diagnosis of OA for at least two reasons: (1) if a worker with OA continues to be exposed to the causal agent, this can lead to worsening of asthma and diminishes the likelihood of resolution; it has been shown consistently that the duration of exposure with symptoms is the principal determinant of persisting asthma after avoidance of exposure and (2) removing a worker from her/his workplace has serious psychosocioeconomic consequences for the worker, often when young, and also for the employer and society. Advice to leave a job in these circumstances needs to be based on a secure foundation. At a time when expensive high-technology imaging testing is available for all sorts of diseases, it is frustrating that frequently advice to a worker to stay at work or to leave is based only on the clinical history.
机译：在普通人群中进行的问卷调查显示，约有10-15％的哮喘患者报告说他们的哮喘病在工作中更为严重。1这些患者中有一部分可能显示出所谓的职业性哮喘（OA），即由哮喘引起的哮喘。代理在工作中被吸入。至少由于以下两个原因，确认或排除OA的诊断很重要：（1）如果OA工人继续暴露于病原体，则可能导致哮喘恶化并降低解决的可能性;一直有证据表明，有症状的暴露时间是避免暴露后持续哮喘的主要决定因素;（2）经常将工人从其工作场所撤离会对工人产生严重的社会经济影响，而且通常是在年轻时。雇主和社会。在这种情况下辞职的建议必须以稳固的基础为基础。在昂贵的高科技影像检查可用于各种疾病的时代，令人沮丧的是，经常根据临床病史给工人留下工作或离开的建议。

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