[Health check on divers and compressed air workers].
We have conducted the health check of 3,554 compressed air workers and 1,821 divers, and also examined the incidence and severity of aseptic bone necrosis by using Roentgen pictures. We could classify 4,859 of 5,375 persons into four groups (A-D), based on our classification. We could also classify 4,205 of 5,375 persons that had had a bone X ray examination on the basis of the criteria described by Ota and Matsunaga (A-C). 4,859 persons belonged to four groups: class A (persons who can work, no limitations): 4,099 (84.4%), class B (persons who can work under conditions below 1.0 kg/cm2): 357 (7.3%), class C (persons who had better quit work under hyperbaric conditions, though they are not prohibited by regulations): 183 (3.8%), class D (persons who must be prohibited from working in a hyperbaric environment by laws of the Ministry of Labor): 88 (1.8%). About 90% of compressed air workers and divers (classes A and B) were permitted to work under hyperbaric conditions. Most of those belonging to classes C and D suffered from hypertension, cardiovascular disease and liver dysfunction. The incidence of aseptic bone necrosis was 11.1% (465 out of 4,205 persons). Eight persons (2.2%) belonged to criteria A which means poor prognosis. They were classified into class D. There is no differences between compressed air workers and divers in the incidence of aseptic bone necrosis.
Department of Allied Health Sciences, Faculty of medicine, Tokyo Medical and Dental University, Japan.
N
N
Yamami
M
M
Shibayama
A M
AM
Sera
M
M
Takahashi
T
T
Nakayama
R
R
Endo
M
M
Kawashima
T
T
Nakamura
Y
Y
Mano
D000328:Adult; D001274:Atmospheric Pressure; D004242:Diving / Q000009:adverse effects*; D006801:Humans; D009784:Occupational Diseases / Q000175:diagnosis*; D010020:Osteonecrosis / Q000209:etiology*; D013177:Sports