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本文对九江市尘肺病患病情况进行了流行病学调查,全市至1989年底止,共检出901例尘肺病患者,现有患者659例,患病率2.12％,累计患病率2.9％;病死242例,病死率26.89％,尘肺合并肺结核率22.56％。平均发病工龄15.84年,平均发病年龄46.37岁。患者主要分布于有色、冶金、水电三个工业系统,占89.38％。矽肺占97.12％,其中凿岩工矽肺占63.00％。提示我市尘肺发病具有发病早、进展快、病死率高的特点。危害主要病种是矽肺;主要系统是有色、冶金、水电,主要工种是凿岩工。笔者认为,井下凿岩工防尘仍是今后尘肺防治工作的重点,应继续完善综合防尘措施。
In this paper, the prevalence of pneumoconiosis in Jiujiang City was investigated by epidemiological survey. By the end of 1989, a total of 901 cases of pneumoconiosis were detected in the city. There are 659 patients with the prevalence of 2.12% and the cumulative prevalence of 2.9%. 242 cases died, case fatality rate was 26.89%, pneumoconiosis with pulmonary tuberculosis rate was 22.56%. The average length of service was 15.84 years, with an average age of 46.37 years. Patients are mainly distributed in nonferrous metals, metallurgy, hydropower three industrial systems, accounting for 89.38%. Silicosis accounted for 97.12%, of which drilling rock silicosis accounted for 63.00%. Tip of the city has the incidence of pneumoconiosis early, rapid progress, high mortality. The main disease is silicosis; the main system is nonferrous metals, metallurgy, hydropower, the main type of rock drilling workers. The author believes that downhole rock drillers dust prevention is still the focus of pneumoconiosis in the future should continue to improve the comprehensive dust control measures.