Author/Editor		Remškar, Zlata; Brenčič, Erika
Title		Analiza azbestne bolezni v Anhovem 1995, 1996
Translated title		Analysis of asbestos disease in Anhovo 1995, 1996
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 4
Publication year		1997
Volume		str. 197-9
Language		slo
Abstract		Background. The results of the diagnostic procedure of 244 present and former workers of Anhovo factory who had been referred to the Institute Golnik with suspicion of having asbestos disease from January 1995 till December 1996 have been analysed. Diagnostic procedure included: clinical examination, evaluation of chest X-rays in comparison to the series of roentgenograms performed at previous examinations of the workers from Anhovo factory, lung function tests including spirometry and transfer factor for CO and additionally if needed high resolution computed tomography of the chest, ultrasound of the heart, biopsy of the pleura and transbroncial lung biopsy. The comparison of the characteristics of newly detected patients with pulmonary asbestosis found in the past 2 years in comparison with the patients with asbestosis diagnosed in 1980-1988 was made. Conclusions. In 193 out of 244 referred to our Institute the suspicion of the existing asbestos disease was confirmed, i.e. in 119 the asbestosis of the pleura, in 70 asbestosis of the lung and in 4 the malignoma of the lung or pleura were found. The characteristics of the patients with pulmonary asbestosis found in the past two years have been similar to those diagnosed in 1980-1988. Unexpected finding of the study is the fact that the disease could have been diagnosed on average 8.3.+-5.3 years ago. We suppose the delay in the diagnostics of asbestosis in the patients together with the increased number of referring to the further diagnostic procedure to the Institute Golnik during the past two years, might be due to the change of criteria, considered for referring to the further diagnostic procedure.
Summary		Izhodišča. Proučevani so rezultati diagnostične obravnave 244 sedanjih ali nekdanjih delavcev tovarne Anhovo, ki so bili napoteni v diagnostično obravnavo na Inštitut Golnik v razdobju od začetka l. 1995 do decembra 1996 s sumom na azbestno bolezen. Diagnostična obravnava na Inštitutu Golnik je obsegala: klinični pregled, vrednotenje rentgenograma prsnih organov v primerjavi s serijo rentgenogramov prsnih organov, narejenih ob prehodnih obdobnih pregledih delavcev v tovarni Anhovo, preiskavo pljučne funckije v obsegu spirometrije in transfer faktorja pljuč za CO ter dodatno po potrebi pri posameznem bolniku še računalniško tomografijo prsnih organov visoke ločljivosti, ultrazvočni pregled srca, biopsijo rebrne mrene in transbronhialno biopsijo pljuč. Izvršena je bila tudi primerjava značilnosti novo odkritih bolnikov z azbestozo pljuč, ugotovljenih v razdobju zadnjih dveh let, s stanjem bolnikov z azbestozo, diagnosticiranih v osemdesetih letih. Zaključki. Pri 193 od 244 napotenih smo potrdili napotni sum na obstoječo azbestno bolezen, in sicer smo pri 119 ugotovili azbestozo plevre, pri 70 azbestozo pljuč in pri štirih obravnavanih malignomsko bolezen pljuč ali rebrne mrene. Karakteristike bolnikov z azbestozo pljuč, ugotovljenih v zadnjih dveh letih, so bile podobne tistim, diagnosticiranim v osemdesetih letih. Nepričakovana je ugotovitev raziskave, da bi pri 106 proučevanih delavcih tovarne Anhovo lahko ugotovili bolezen v povprečju že pred 8,3+-5,3 leta. Domnevano je, da je ugotovljena zakasnitev v diagnosticiranju azbestne bolezni pri proučevanih delavcih tovarne Anhovo skupaj s povečanim številom napotitev v nadaljnjo diagnostično obravnavo na Inštitutu Golnik v zadnjih dveh letih posledica spremembe kriterijev, upoštevanja pri napotovanju v nadaljnjo diagnostično obravnavo.
Descriptors		ASBESTOSIS SLOVENIA ADULT MIDDLE AGE AGED