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< 一酸化炭素中毒 carbon monox... | メイン | ピカソ展於岡山県立美術館 >
2007.08.18 08:00 |  診療  |  ミチバ  | 推薦数 : 0

建設労働者の職業病

・以前も書きましたが，職業・環境疾患へのアプローチ・勉強の仕方は，以下の三つあると思います．

①臨床の場で，症候・疾患からその原因である職業・環境因子を明らかにする．

②ある物質や因子がどのような健康影響をあたえるか知る．予防に活かす．

③職種，業種，作業がどのような，どのような疾患をおこす可能性があるか知っておく．

・今回は③のアプローチからです．この記事のタイトルと同じ本が出版されています．私の知り合いのDr.達が書いたものです．

『建設労働者の職業病』柴田英治，垰田和史，田村昭彦，西山勝夫，船越光彦著．文理閣．2006年５月２５日．

・この本の中の目次からどの様な職業病があるか拾ってみます．

石綿による疾患

塵肺

気管支喘息

上肢障害振動病

メンタルヘルスと自殺

有機溶剤

皮膚障害

癌

騒音性難聴

＊項目に上肢障害があるけど，腰痛がないなというのが感想です．また，今の時期，脱水を忘れてはいけないでしょう．

・もうひとつ，教科書からですが，私の手元にある『現代労働衛生ハンドブック 増補改訂第２版』には建設労働という項目があり，そのなかの健康障害の項には，以下のようなものが載っています．これも羅列ですが．．．

物理的要因

a.異常気圧

 1)高気圧障害 2)低圧

b.有害輻射線

1)紫外線 2)可視線 3)赤外線 4)レーザー光 5)電離放射線 6)マイクロウェーブ

c.騒音，振動

d.感電

e.重力

f.温熱

1)寒冷 2)暑熱

化学的要因

a.ガス

1)酸素欠乏症 2)硫化水素中毒 3)一酸化炭素中毒 4)炭酸ガス中毒 5)有機溶剤等 6)金属ヒューム 7)粉塵

生物学的要因

a.破傷風およびガス壊疽

b.レプトスピラ症

c.ツツガムシ病

＊有害因子を考える場合，上記のように物理的，化学的，生物学的要因を考えると分かりやすいというか覚えやすいですね．

 上記挙げた項目は，ちょっとずつ詳しく紹介していいきたいと思います．

 

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