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[目的]探讨职业性急性中毒性脑病的诊断,提高职业病诊断水平。[方法]在无职业病危害因素检测及职业健康监护资料的情况下,3名职业病诊断医师参考劳动者临床表现、现场劳动卫生学调查结果及文献资料,作出诊断结论。[结果]2名诊断医师诊断劳动者为职业性急性中度中毒性脑病,1名诊断医师排除职业性化学中毒,根据半数以上诊断医师的一致意见形成职业性急性中度中毒性脑病的诊断结论。[结论]在无职业病危害因素检测及职业健康监护资料的前提下,职业病诊断医师结合国家职业病诊断相关标准、劳动者临床表现、现场劳动卫生学调查结果及文献资料可作出诊断结论。
[Objective] To explore the diagnosis of occupational acute toxic encephalopathy and improve the diagnosis of occupational diseases. [Methods] In the absence of occupational hazards and occupational health monitoring data, three occupational disease diagnoses physicians refer to the clinical manifestations of workers, on-site labor hygiene survey results and literature to make a diagnosis conclusion. [Results] Two diagnosticians diagnosed workers as occupational acute moderate toxic encephalopathy. One diagnostician excluded occupational chemical poisoning. The diagnosis of occupational acute moderate toxic encephalopathy was formed based on the agreement of more than half of diagnostic physicians . [Conclusion] Under the premise of no occupational disease hazard testing and occupational health monitoring data, the diagnosis of occupational disease physicians can make diagnosis conclusions based on the national occupational disease diagnosis standards, the clinical manifestations of workers, on-site labor hygiene survey results and literature.