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366 0. A. SANDEB
________~_-v---------------------------------------------- Figure 3. Composite diagram (modified from Miller11) of the primary lob'uljp'lyiuph'' system, indicating the primary distributions or accumulation points for dust thistlS^ir predominant phases of pneumoconiosis: b.r., respiratory bronchiole; dal., alvepH atria; sal., sacculi alveolare; a.p., alveoli opening into respiratory bronchioles and a'ivl in close relation with the origins of peribronchial and perivascular lymphatics>;i^fcr pulmonary artery, accompanying the air passages; V., branch of pulmonary yeip3r|f||
A,septum; pleura; PJ3., peribronchial lymphatics; P.V., perivascular lymphati||HT
other dotted areas, lymphoid deposits. (By previous permission of Dr. W. Si Miiieft
The lymphatic-system consists of vessels that cany fluid simi'lSar''tilBm|
plasma and nodules composed largely of protective and phagocytjb2|l| lymphatic vessels an^ lymphoid .tissue areimportant in eonnedaoBtM^j^f
6. Phag^i^JIn,tlie alyeolar spaces there are large cells capabje!:o|||ngg foreign material and having the power of independent motion. A larglfpfr -;these-agieboid"-forms"at)pear-rwhere.veE^fQr.eigmmuttar.iftfc..ftbf;isrgth^s^ ingesting the exogenous particles, some of these cells pass into the bl#q|$$pf finally lodge in the spleen and liver or move elsewhere in the lung tiSsu|||| jority, however, make their way to the lymph vessels and eventually-to tions of lymph tissue, where they lodge. This resting place may be anyw^r
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PULMONARY DUST DISEASES
367
lagocytes migrate peripherally to the pleura and others centrally to !p;'lymph tissue the foreign material may be absorbed, may remain jpj Or may, by some chemical reaction, initiate pathological changes rmation of silicotic nodules.
Viy*iP!
Factors of Importance in Injury by Dust
ig^o/ air inhaled. Just as we are interested in the amounts of dust
j'air, so are we also interested in the amount of air inhaled by men
s-v-T*
f%c.pnditions. This has been discussed in Chapter VI.
wfev frSntiehinittiioi n. Before we can arrive at a logical basis for determining
*S|ible concentrations, it is necessary to know what proportion of
'^plained. Since most dust-collecting apparatus imposes considerable
fheVpassage of air from the lungs, satisfactory results were not ob it studies until Baumberger12 used an electrostatic precipitator with aoiigh to reduce the resistance to a negligible factor. His studies on llhyielded results considerably higher than those obtained later by
Ij|rinker, Thomson, and Finn,14 and by Brown.18 Baumberger found
> Iger, cent retention of smoke. Sayers, working with tetraethyl lead in
'Sarying from 0.35 to 10.4 mg. per cubic meter of air, found that only
* aipjetained and attributed this limited retention to the small particle
gpWzSW/owji agtudies gave rather conclusive results, showing that the percentage
||sely proportional to the minute volume of air breathed and to the
^^jyhereas-it-is-directly-proportionahto-the-particulata size,, density
uwm?s.aaftteu?en.r..d.eHdeinfoauinr,datnhdatthreeteexntteionnt
to which was not
the dust affected
is wetted while by volume per
passrespi-
japacity, or relative humidity of inspired air.
Wi
V. Dust Causing Pulmonary Fibrosis A. SILICOSIS
1. History
re^ners Prevent the breathing of ^^TAUj^^iumbirger, J. Pharmacol., 21, 47 (1923).
S. Bur. Mines Rcpt. Invest. No. 2661, 1924. Thomson, and J. L. Finn, J. Jnd, Byg., 10, 13 (1928).
^i.iM9tjJ>linm5;vSecundus, Naluralis kistoria, Bk. II. Trans, by K. C. Bailey under the
SII Blder\Hkriy?8'Chapter on Chemical Subjects, Pt. 1. Longmans; Green, New York, "Geh^giua^AgricoIa, De re metaUica, Bk. I. Trans, from 1st Latin ed. of 1556 by H. (3-
Vinil T^sfi^Hoover. Mining & Sci. Press, San Francisco, 1912. nAft
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