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血铅超标对铅作业工人T细胞亚群的影响观察
作者姓名:Wang L  Wang JY  Bai H  Li XF  Wan F
作者单位:1. 甘肃省白银市第一人民医院(白银有色集团公司职工医院)血液科、职业病科,甘肃白银,730900
2. 复旦大学附属华山医院内科,上海,200040
3. 兰州军区总医院血液科,甘肃兰州,730050
摘    要:本研究旨在通过临床病例观察探讨铅中毒对接触铅作业工人T细胞免疫功能的影响,为职业病的防治提供依据。2007-2010年通过对大批职业体检者的静脉血和晨尿标本的检测,从中选择血、尿铅等指标超标并需要驱铅治疗者70人中作为观察组,无铅接触的正常健康作业工人60人中作为对照组,并对这2组人员进行T细胞亚群检测、观察和分析。结果发现,观察组70人CD3+CD4+降低者占47.14%,CD4+/CD8+比值低于正常值者占71.43%,其中比值倒置者占41.42%;对照组60人CD3+CD4+降低者占13.33%,CD4+/CD8+比值低于正常值者占25%。观察组血铅浓度(4.63±1.27)μmol/L,CD4+/CD8+比值1.20±0.50,对照组血铅浓度(0.72±0.35)μmol/L,CD4+/CD8+比值1.75±0.62。结论:职业性血铅超标者发生细胞免疫功能低下较正常者明显增加,提示铅可以抑制人体细胞免疫功能。随着职业者血铅浓度的增高,T细胞亚群异常者增加,显示血铅浓度与T细胞免疫功能有关。

关 键 词:职业性铅暴露  血铅  T细胞亚群  细胞免疫功能

Impact of excessive blood-lead Levels on T cell subsets in lead exposed workers
Wang L,Wang JY,Bai H,Li XF,Wan F.Impact of excessive blood-lead Levels on T cell subsets in lead exposed workers[J].Journal of Experimental Hematology,2011,19(6):1509-1511.
Authors:Wang Lin  Wang Jin-Yu  Bai Hai  Li Xiao-Feng  Wan Fang
Institution:Baiying Municipal First Hospital, Gansu Province, China.
Abstract:The aim of this study was to explore the impact of lead poisoning on immunological function of T cell subsets in lead-exposed workers through analysis of clinical cases so as to provide the basis for prevention and treatment of occupational diseases.70 cases who had excessive level of lead in blood and urine and need treatment by driving out lead were collected as observation group through detection of a large blood and urine samples from 2007 to 2010,meanwhile 60 normal healthy people without lead exposure...
Keywords:occupational lead-exposure  blood-lead  T cell subset  cellular immune function  
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