台灣地區氯乙烯暴露工人世代追蹤研究

全文

(1) .

(2) .

(3) . . .

(4) . . . . . . &'()*+,)-. &'()*+,)-. . . (/01 (/01. !"#$% !"#$%. .

(5) . . !"#$%&'() *+%&,- *.+/ 0 1 2 3 0 1 24

(6) 5!670%890:;<=5>?@A BCDEFG$%&EHI J+K 03 04"LMNOB< 'P *QRHIST

(7) UHI0T 0>VWXY Z[\]B^T

(8) _ àbPGcdeL8f ghijk9l

(9) !m"0njopqr"[\]B^sh"tu>gv] wxry:Fqrz:8 0:{

(10) !<P|}j[\]B^~

(11) 9 8 0:{

(12) !jVWXY,v]wxryPXi|}j[ \]B^

(13) qrj[\]B^ x Xi

(14) àP|} jv]wxryqr> 2345 [\]B^v]wxryqr. . 6789:;<= >?@&6 78AB ACDEFG H $IJKLMNO P QRSTUV W X Y < Z [ \ ] ^ _ ` ! "

(15) #

(16)

(17) $ !#$abcd ef<ghijk< !#$.

(18)

(19) !" #$%&'()* +. ,-./0 12345.

(20)

(21) !"#$%&'()*+,-.+/-0(12'3456

(22)

(23) . .

(24) .

(25) . < ·ÙP >7?@AB= u] H$"g= . ~ U

(26) ] § ö£ B î ++ 0 î ' y ++ îZýº» åýab+º»uå +ä <å~ !£ ab¬+,Êµ"#á '' äQ !£ab¬ 0& ä <ýabP C789DEFG= § ¾¿º»å éaêëì l$î $c%$&'ÆÊË( l¤)*+(ª«º»å , -./P¤)*+(Ñ + 0 1ÃÄ<¤)ê|2ÊË*3 4 (5ò£ +*' ¤) *+(¤)# éaêëì~ § A¼½º»å6 +*' 7 ++ y,-.8P'ÆÊË(³9 çèé:êëìí$î l; Æ.8¤)*+(³9çèé: êëìí$î í¤)î í¤) <íuJí¤)=í,v¦í ]a>?¤~ + ( ( + @@Páß ¤) 5òçè '& FG5P H7IJKL= ÊË

(27) 1)23(((¸(ABC! DEFZ[ÊËGUHÏI} ÊË. %&'lmnop< !#$%' gq \rKFstuP vwx3KLMNO y z{78X|}~ F G ( ) $ ()$ EF *w x3KFy z{ QwxA KF +,- ] ¡¢P£VWKFFG ¤~ ¥¦~§ ¨©ª« wx3KFy z{P ¬:; Qwx ADEF 'l®¯L°±²F G ,³´µTUw x<¶·¸¹º»Z[¼½~ § ¾¿ÀÁuº» ÂZ[VW XY<¤~abP . . 6789:;<= <º»¸¹ÃÄÅ ÆtÇÈÉÆÊËÌÍÊÎÏÐÑ Ò Ó Ô Õ .

(28) / Ö×ÓØÙop

(29) ! lÚÓÛÜ 3ÝÞÖ ßàÓÖáâã &0 äå æ§ÊËçèéaêë ìí$îíuJívïílðvÌñ vî ò¢ < éaêëìóÂPVWÅÆÂ ôõö÷¿ø¦å Öùú ûüÈýÅÆþ¸¹ <º»ÿ»ÐÏ. . .

(30) . ()789:;<=>?@AB. +*- Zý / f ! Ö , Ð P~hiå¢kSl ' P9' 60 -*5 å£ 0- PZý / f ! Ö ,+mno' *5 å£ &- PZý / f ! Ö ,Pj &+5 å¢, 5 å,µ" ' pq,Ê - P >7DEKL= Ð W¤~ ¤)3 \ l7U6 YZ ¤)`£ 0& ä º»òá ä¤)YZ ¤) ` ** +'5 ( % ' 0 7 ** . 8 --'`g +*' ++ rVWX YXu<J¤)2estu+rF G Y Z ¤ ) ` v t q '& &0&2!$%&0Pw ±²FG ( '-7'+ lKF ('' YZ ¤)àJ & l &0-´ µx²ß esyz!®¯lpL ±²FG (--7-* ¬µ{ =FG²ß es|ÈP C7PQRSKL= ZdX}r~º»åÄ ,_y=aU 8- -7 + l - U Ð 0cd µ{swx_y |È¤~YZ ¤)`|È +òwx_y £ - + U ò ® ¯ u L F ( -& Y Z ¤ ) ` x 7 ² ß esyz 2!$ % 000*+'5 ( % 007 'P. A 2)2 2 ) 2 ?²ßJKLÙZ[æ§MN²ß l<ß_ 0P º»<J¼ ½< ß_{# UO

(31) ¼½ yÑøPQRS

(32) # < T # ø P a U ò < È PAVUOW<TRS <È A§ º»W <T¼½<PAVWXY +*' ++ Xu<J]J¤)2Y Z2[W<TQ¼½< ]J \¤)PA§ ]JQ¤)! \¤)[ -- 7 Y Z ¤ ) ` 2

(33)

(34) 4

(35) ! $ 2!$ß_7U +'5 ]^Yy +'5

(36) +'5 (P¬wx_Eí` w x »í`wxalÖb/8, c»uwxYZdabw x37z¤~ z{P . . 67MNOIJ= £§ ò0& äXuåe

(37) +'- î ++ 0 îy Zý / f ! Ö, , Ê£P8º»¼½ ++ 0 î,-#á 0*& äg +&5¤)# äg 0 5µ C ¼ ½ 7 , - . 8 # ä g 5ÏÙ¼½2 +*05 ¼½< &-0 - <P h i å ! " $ £ +&- +- » '5$

(38) +- + j '+'5 å £. . .

(39) .

(40) .

(41) . . 0 0 ≥ 0 k9l0 ≥ k9l0 ≥ 6 < '. . ^

(42)

(43)

(44)

(45)

(46)

(47)

(48)

(49)

(50)

(51)

(52)

(53)

(54) . 0 . k Z Zry ¤r¥¦r§¨r v]wxry ©r ª«¬«r qr ®wxry ¯°wxry ±r ²³F´µ¶·ry ²³µr ¸°¹ º»wx¼¹ ½µ¾¿¹ ±µÀ¼¹ v]wx¼¹ q¿ÁÂ¼¹ Ãq¹FqÄ] ¯°wx¼¹ ÅÆÇ ÈÉ§-Ê . . ¡ . . . . . . .

(55) ¢£. . . . . . .

(56) ;£ . . . . .

(57) . ()789:;<=>?@AB. 0 k. 0 Z Zry ¤r¥¦r§¨r v]wxry ©r ª«¬«r qr ®wxry _ ¯°wxry _ ±r ²³F´µ¶·ry ²³µr _ q¿ÁÂ¼¹ Ãq¹FqÄ] . 0 _ _ . ≥ 0 _ _ _ _ _ . . H7TUVPQW9KL= }r~º»åÄ`wx »aU + - + - + + l +*- U Ð &c d H - w ± ² F G 2!$ % ++, +'5 (% -+ 7 00&* l K F 2!$%0+ 0+'5(%*07 '& £ + - ZÖ#gq YZ ¤)`P X7TUVYZW[KL= A}r~º»åÄ`Z ÖaaU 8 0- P0- 7 0+ Pl &- PU Ð 'cdHs`ZÖa |Èr¤~í w ±²FGk¢ kµx7²ß esyzP \7Z]^==. . ~VWXYopÖk £ +' Öå;£ + ' 01ZÖ~H- op<¤)¢P~}r~º »åò RS£ÔÕÖ, #òZdabcdÐ rF G 2!$%&-*íw ±²FG 2!$ %'íKF 2!$%-& l®¯ uLF 2!$ % &+& kesgq YZ ¤)`PZdab£ + ZÖÔÕ<YZ ¤)`cdH-w ±²FG2!$% &*+'5 ( % 0'* 7 &--3K F 2!$ % '&+ +'5 ( % &- 7 +*0 YZ ¤)`Qk7x²ße suP . . .

(58) .

(59) . & . !"# . k. Z Zry ¤r¥¦r§¨r _ v]wxry ©r ª«¬«r qr ®wxry ¯°wxry _ ±r _ ²³F´µ¶·ry _ ²³µr _ q¿ÁÂ¼¹ Ãq¹FqÄ] . ≥ _ _ _ _ _ _ _ _ . . ' . !"#$ . k. Z Zry ¤r¥¦r§¨r _ v]wxry ©r ª«¬«r qr ®wxry ¯°wxry ±r ²³F´µ¶·ry ²³µr q¿ÁÂ¼¹ Ãq¹FqÄ] . . . k9l0 _ . . k9l0 . _ _ . ≥ _ _ _ _ _ .

(60) . ()789:;<=>?@AB. %&'() *+, k Z Zry ¤r¥¦r§¨r v]wxry ©r ª«¬«r qr ®wxry ¯°wxry ±r ²³F´µ¶·ry ²³µr q¿ÁÂ¼¹ Ãq¹FqÄ] . . ¡ . . .

(61) ¢£

(62) ;£ . . . £§ ò`gVWXYXu¶ ·H-<gq w ± ²FGIJKFP lvwx < FG ;ãò£KLMNO H $ K L M N O 7 8 ¡ ¢ F G£<ò_A{P § ZdXãFG¤)# ¤) ê|2fl]£ § º»òµH-KLMNO] ,£+£VWFG]rZ[ ]S~Z[vº » ¾¿¤)*+(óÂ KFH$ Uib/ U} ACKLMNO]µ }P £VWKFXuFG¤~ ¥ ¦&<`gHKF V WXYXu¶·AH-KF qstuA{wx}QA. . KF %$P¬£§ º»ò ßàä\rKF¤)#hi¤) # wx_y 00 7 ' ò ÓÖá->äKF¤)#h ÓÖÒÓÔÕÖò9 ÖÑ +'- 01Ý,. q 0 .8AC3KF H$zP£àä\rKF¤)# ò+ ä£ + - ZýÖ ,#P<£ +* ACw x£q45 ò~8_, ¡¢ £:wx45µÈ¤IP~ ¥FG¤)k"=_y . ~£ + -7+ + y`¦ §7 wx<£µ ¼½ ò}ACgq YZ ¤)`P ¨[]i êÄQK©]ª «¬VW<KF !"~K F r # ò - 7 +-5 ` 91) f 9 ®u 'P!ª 1. .

(63) .

(64) . ÿUl >?wxZ[ö&ÓßP Î» § ¾¿¦F wxc »YZ[wxE53¤~y a bcdefW¤~ YZ ¤)` £Öwx=5yµC×e-²ß esyzPwx=5g=#AC; MØT7UXwx45ACg uwx=5g#AC-.¦ Ë7qwx45 <+~g= wx=5U

(65) FG¤)2 |ÈÙÚ es Ûö~PþÜÝXH7KF stus`wx _ a|È¢ Ð '+Ý©Þ QH-+,-9ß£g a_w x

(66) g9ÊDE Kà áOâãP § m¬ ü¢~a º»åµC¼½7,-./hi º»åAC£ +*' ¤) ~%$& ¤)*+(£ +*' éaêëìþóÂä[ +*' ¤)ÊË$chQAC p§ YZ ¤)ùÓP . bf bK©]ª«¬¬¯°ª±w xí²wxíl³úµ¶QACU

(67) KF H$·¸s¹" º»P~ § I}º»3VW ¼ ½]º»Z[ÊË$ccdä' ¾ <-

(68) ¼½]º»òP¬ ÃÄ¿þZ[ » òH -< K©]ª«¬À[2 91) f 9 ® u '5 78

(69) VW¥Xu¶· «¬À [2 '7-5 ,*P~£§ òþH-<`gVW¥ Xu¶·ÚÁq KFstuh ÐfswxAC3KF H$ 7zÂÃfsKF]ª«¬ <6Äq KFst uPµ£<òTU NÅÆ~Z[]UÇ 6AU

(70) KFE]mÈÈª«P l QwxAD E F ' l ® ¯ L ° ± ² F G ,£§ òþQB7 <ACgq®¯L°±²F GYZ ¤)`78¡¢ "ZdXA}P£§ ò ¤ ~YZ ¤)èstuef§ º»'¾<É6,£AC g'¾ <9ÊËÌ g'¾#A ÍËg= wxP <wxÊË ÎµË7º» å'¾./ ~Ïw xDÐaU ,£6AÑmu DÐaUcd}ÒÏ YZ ¤ )ùÓPTU<l wxZ[¹ ¸78ÔÕ ,~£§ òU

(71) l wxÊË . .

(72) . § ådcdefVW <ACgq KFYZ ¤)` ~¸æç ¹èF]UÇ Âféuº » ÂÈêÅÆ~ 1 bf bK©P £§ ò ¤~YZ ¤)è stuef§ º»'¾ <É6,£~¸¹VW vY Z<ë .

(73)

(74) . .. .

(75) . ()789:;<=>?@AB. , +*+? :.

(76) ) E F 3A.

(77)

(78) @ H.

(79) ,; < #. !

(80) ,0@'*'0 2 , =, =I)"" , G), )

(81) . , ), , ++? :) " 2

(82) (

(83)

(84) !

(85) E F ,; 2

(86) < E F 3 9 , @'++ , =, E, <, ++*? :(

(87) ! "

(88) #

(89)

(90) $ / =

(91) =

(92) ! E F ,; #. 3 !

(93) @'*'0 * ( ) $ , +* ? :()$ ! . 3 $F. 9 # 3 @ H.

(94) ()$! . ,; &E9#,()$,= ,2.. , 0 00 + 3,!,E,ED,G, (D!, +*0? :)

(95) 9 .

(96) E F ,; 9 . , @ 0 0** - = " , EG, ++? :) ' J B. 9 3A.

(97)

(98) E F C ,; ) <(

(99) !

(100) ,+@&&&'* E , #, E , !, J , 3, ,++?:)(

(101) B

(102) 3.

(103) 2

(104) . 6A¢ìívº» ò '¾<É6 P 0£ + +*& y r¤)* +(òµé:êëìî¦~ óÂZ[É ÊË$ç æ¹¸Øïr¤)*+(é: êëìî¦6A|È£VWZ[ vº» É5P . . «ðÅñåÒÅÆtÇí%$ &Æ'òí%$&²ßíVW9i á%$ió¸ôõöl³÷~ø÷Ê ùúUûüÊË3ýþÿÐðP . . S~Ç++0+ :ùç VWXY¹"%% Ð;P , <=, < , !>, ++? :) = ! /

(105) ,; < # .!

(106) ,@'-' 0 1A ,/<,) ,//,!B , $>!, , +*-? :) . = @ ) #

(107) 3 C 1 ,; 1 < (

(108) !

(109) ,0 @0 & D , C, )

(110) , /, +*? : ! C .

(111) E F 3A.

(112)

(113) ! ,; < #. !

(114) , 0@ ' E, E, 2

(115) , G, 1 B, , . . .

(116) .

(117) . 1 , $/, +**? :9 . 1 @ D !L 3 9 . ,; , @ +&+' * 2 , <, E, <D, E, D9, ,++0?:/ 9 . ( DB " 2 / .

(118) "

(119) )

(120) / $ ,; < 9 . , @ ++* + ! , , = , C, " , ), , +*? : 1

(121) ! @!

(122) $F) 3A. 1,; 3 9 / . ,&@0+ - =", $<, G , G/, 1 9!, +*'? :D $ = J 1 @ ( )

(123) .

(124) (

(125) "

(126) )D/

(127) J ,; ,@'* .

(128) E F , +&+*,; ) < (

(129) !

(130) ,-@0 0& E " ,9$ ,EC ,3+*? :C ( ! "

(131)

(132) ! E F 3A.

(133)

(134) ; 3 9 / . ,0@+'++ 0 2)2( ,++'?:2)2/

(135) C

(136) , $ ,; 2)2 , ,> & [÷%$&++ + :VXY ++ %$²ßç à $ ²ß;P ' K, !E, , <, ++&? :9 . 1

(137) . . 9 . ,; $ # 9 , @ + 9, K, 9, G=, , D<, , ++ ? :D C2DD

(138) K/3 C . / " J

(139) (

(140)

(141) )" = J ,; ) D A , @&*&** . . .

(142) .

(143)

(144) .

(145) .

(146)

(147)

(148)

(149) !

(150) " # $ % &

(151)

(152) # ' % (

(153) &

(154) # $ %

(155)

(156) # ) & *

(157) '+% , ( !

(158) " # $ % . * % # - ( .)!/ #( #0# %% # 1 2345 ( #0 # & ( ( 6

(159) 6789 (& 26

(160) 6776 # 1 * 654 ((& # % 67:8677; # < " ! 1 ( ##7:12=

(161) (& 0#39246191 #)!#;:1:.78=11>8412 :61:/

(162) & ? @#0A1)! % # +% ( (1 % ( % # # + & 6749 )!1 #( B#0( &6749#)!5351: %(.78=11>6281: 3991;/ 83714 % .78=11>543197:214/1 % #0 ( + 0 % %(

(163) % 1

(164)

(165)

(166)

(167) !"

(168) #$

(169) #% & # ' ( ) &*+ + , ' * . . .

(170) . ! "

(171) # $%&. B

(172) %

(173) ) (

(174) %(

(175) % . . .

(176)