도금공(鍍金工)에 대한 임상적(臨床的) 관찰(觀察)

Clinical Aspects among Platers

${\ulcorner}$크롬${\lrcorner}$과 ${\ulcorner}$니켈${\lrcorner}$등의 도금(鍍金)을 하는 도금공(鍍金工)에 대하여 그 직업성질환(職業性疾患)을 관찰(觀察)하고 저 1976년(年) 6(월)月 대구시내(大邱市內) 소재(所在)하는 서로 유사한 종류와 방법으로 작업하고 있는 중소기업체(中小企業體) 중 작업환경개선(作業環境改善)이 어느 정도 되어 있는 곳과 전연 되어있지 않는 곳을 각각 1개소(個所)씩 선택(選擇)하며 비교해 본 결과 다음과 같이 요약(要約)할 수 있었다. 전반적(全般的)으로 비강내(鼻腔內) 증상(症狀)이 총출현빈도(總出現頻度) 중 50%이상을 점하며 다음 현기증(眩氣症)이 문제(文題)로 되어 있으며 환경개선(環境改善)을 함에 따라 비강내증세(鼻腔內症勢)중에서 괴양성 병변(病變)을 줄이어 증상(症狀)은 가볍게 되었으나 개입보호구사용(個入保護具使用)을 소홀히 함으로써 점차 만성적인 변화(變化)를 초래할 염려가 있었다. 각종 혈액상(血液相)중 ${\ulcorner}$헤모글로번${\lrcorner}$, ${\ulcorner}$헤마토크리트${\lrcorner}$ 적혈구(赤血球)와 요소견(尿所見)중 단백질당(蛋白質糖), ${\ulcorner}$우로비리노겐${\lrcorner}$등에는 큰 영향을 미치지 않고 있다고 생각된다.

This is a result of clinical examination for workers working with Chromic acid and Chromium compounds in the plating room of their companies. I selected two companies that the plating process and the kinds of plating were similar. One (SW Co.) was more or less improved the operating environment with the ventilation machine so on and another (SR Co.) did not it so. The former was examined at March 29th 1977, the latter was at June 28th 1976. But the respiratory communicable diseases, flue or common cold so on were not spreaded there at that time. The clinical aspects were compared between the group of SW, and SR. The swelling and hyperemic signs of nasal mucous membrane and the experience of nasal bleeding were about 50%, generally, in all the groups. The following problem was dizziness or vertigo. The nasal signs in the group of SW (improved ventilation of the room air) were relatively weak, but in another, it was some what severe; - there was necrotic sign with thick nasal clast. They were only used of gauze mask when the vapors of various solvents were deeply full in the room. And there was very high rate of bronchial signs, sputum or coughing in the group of SW improved ventilation so called, than another one. I suppose that it means chronic inflammatory change of the bronchial mucous membrane with deeper signs, due to the individual protectors were carelessly or not used according to the improving of the operating environment. Theses nasal signs mentioned the above were not nearly in the other groups had not been done the Chromium plating. The Status of RBC, Hb and Ht, of urine protein and urobilinogen were mostly in normal range. But the number of WBC was more or less showed with a positive correlation to the working duration.