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Vol. 23, Art. 37 (pp. 648-656)    |    2022       

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A clinical case of a combined form of occupational pathology

G.A. Tsepkova, A.N. Vlasenko, Yu.B. Goverdovsky, V.V. Shilov, О.N. Аndreenko

1 Military Medical Academy named after S.M. Kirov of the Ministry of Defense of Russia
2 Northwestern Scientific Center for Hygiene and Public Health
3 Northwestern State Medical University after I.I. Mechnikov

Brief summary

A description of a clinical case of a combined form of occupational pathology - chronic obstructive pulmonary disease, vibration disease and radiculopathy of the lumbosacral spine is given. The patient was being examined at the consultative polyclinic department of the North-Western Scientific Center for Hygiene and Public Health (clinical base of the Department of Military Field Therapy of the Military Medical Academy). It was established that the patient worked for 27 years as a longwall miner of the «Severnaya Mine» structural unit of the «Vorkutaugol» coal mining Joint-Stock company, where the work was accompanied by exposure to fibrogenic dust, local vibration, physical dynamic load, and unfavorable microclimate. According to the sanitary and hygienic characteristics of working conditions, the overall assessment of working conditions, taking into account the combined and combined effects of harmful factors, is class 3.3 (harmful working conditions). For the entire period of work, occupational diseases were not established in this worker and he was not sent to an occupational pathologist. Based on the study of occupational anamnesis, sanitary and hygienic characteristics of working conditions, results of clinical examination, laboratory research methods, a comprehensive study of the function of external respiration, fibrobronchoscopy, radiography and computed tomography of the lungs, thermal imaging, electroneuromyography, echocardiography, a diagnosis of a combined occupational disease in the form of chronic obstructive pulmonary disease, vibration disease, radiculopathy of the lumbosacral spine.


Key words

vibration, harmful occupational factors, microclimate, combined occupational pathology, fibrogenic dust, physical dynamic load, examination of working capacity.

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