RESUMO
The article covers results of long-standing research of peculiarities of psychoneurologic syndromes formation in firemen during distant period after intoxication with toxic chemical complex. The authors studied course, peculiarities of early manifestations of neurointoxication. Analysis of the data obtained helped to classify occupational intoxication with toxic chemical complex, considering the clinical peculiarities.
Assuntos
Sistema Nervoso Central/efeitos dos fármacos , Doenças Profissionais/classificação , Exposição Ocupacional/efeitos adversos , Fumaça/efeitos adversos , Incêndios , Seguimentos , Humanos , Doenças Profissionais/etiologia , Estudos Retrospectivos , Fatores de Risco , Fatores de TempoRESUMO
Classic symptoms of manganese intoxication are very rarely seen nowadays. Clinic in Angarsk Research Institute for Occupational medicine and Human ecology registered two cases of stage I and II chronic manganese intoxication over 10 years among electric welders. The cases were diagnosed with consideration of long length of exposure to manganese with the ambient air level exceeding the MAC 1.5 times, the disease manifestation at middle age, high manganese level in serum and urine, characteristic neurologic symptoms in association with organic psychopathologic defects and polyneuropathy of limbs.
Assuntos
Intoxicação por Manganês/etiologia , Manganês/efeitos adversos , Doenças Profissionais/induzido quimicamente , Exposição Ocupacional/efeitos adversos , Soldagem , Diagnóstico Diferencial , Progressão da Doença , Eletroencefalografia , Seguimentos , Humanos , Masculino , Manganês/sangue , Manganês/urina , Intoxicação por Manganês/diagnóstico , Intoxicação por Manganês/metabolismo , Pessoa de Meia-Idade , Doenças Profissionais/diagnóstico , Doenças Profissionais/metabolismo , Tomografia Computadorizada por Raios X , Ultrassonografia Doppler TranscranianaRESUMO
A study of 47 firemen exposed to a complex of toxic substances while putting out fire and 46 subjects with chronic mercury intoxications was carried out 5-10 years after the exposure to toxic substances. Along with clinical psychiatric examination, neuropsychological testing was conducted. Non-specificity of mental disorders, polymorphism and progressive development were found. Psychoorganic syndrome with secondary neurotic disturbances proved to be a core feature of mental disorders. It is emphasized that neuropsychological examination or usage of neuropsychological methods during a psychiatric examination are important for practical diagnosis of exogenous organic mental disorders, especially for outpatient examination of corresponding occupational groups.
