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[The hematological and biochemical changes in workers exposed to benzol]
Summary
Benzol exposure in workers causes early white blood cell changes, including inhibited alkaline phosphatase, indicating myelotoxicity. Liver function remained normal, with minor lipid metabolism shifts in high-risk groups.
Area of Science:
- Occupational Health
- Toxicology
- Hematology
Background:
- Benzol (benzene) is a significant chemical noxious agent in industrial working environments.
- Assessing the dose-effect relationship of benzol exposure is crucial for understanding its health impacts.
Purpose of the Study:
- To investigate the dose-effect relationship between benzol exposure and hematological changes in workers.
- To identify early biomarkers of benzol's myelotoxic effects.
Main Methods:
- Studied 122 workers from two production sites with varying benzol exposure levels.
- Analyzed routine peripheral blood indices, myeloperoxidase, and alkaline phosphatase activity in leukocytes.
- Included an organ-orientated screening for liver function assessment.
Main Results:
- Early leukocyte changes observed in high-exposure workers: neutropenia, toxic granules, and leukopenia tendency.
- Strongly inhibited alkaline phosphatase in granulocytes identified as an early sign of benzol's myelotoxic effect.
- No significant deviations in liver function tests; minor lipid metabolism changes noted in the highest risk group.
Conclusions:
- Inhibited alkaline phosphatase in leukocytes is a reliable early indicator of benzol-induced myelotoxicity.
- Benzol exposure primarily affects the hematopoietic system, with minimal impact on liver function in this cohort.
- Further monitoring of lipid metabolism in high-risk workers may be warranted.