论文部分内容阅读
目的介绍GBZ 11—2002《职业性急性磷化氢中毒诊断标准》修订的背景及主要修订内容依据。方法查阅国内外相关文献,收集急性磷化氢中毒病例资料并进行分析,对本次标准修订内容进行探讨。结果提出本次标准修订仍沿用原标准中以呼吸系统、中枢神经系统损害的临床表现和损害程度作为职业性磷化氢中毒主要诊断分级指标。分级由原标准的轻度、重度2级细化为轻度、中度和重度;将原标准的观察对象变更为接触反应;删除轻度中毒中的支气管周围炎指标;删除明显心肌损害和明显肝、肾损害条款;重度中毒增加“肺泡性肺水肿”、“急性呼吸窘迫综合征”和“猝死”条款。结论修订后的诊断标准适应职业性急性磷化氢中毒的临床特点。
Objective To introduce the background of GBZ 11-2002 “Diagnostic criteria of occupational acute phosphine poisoning” and the main revisions. Methods Access to relevant literature at home and abroad, collecting cases of acute phosphine poisoning cases and analysis of the content of this revision. The results suggest that the revision of this standard still follows the original standard with respiratory system, the clinical manifestations of damage to the central nervous system and the extent of damage as a major diagnostic indicator of occupational phosphine poisoning. Grading was changed from the mild, severe grade 2 of the original standard to mild, moderate and severe; the original standard observation object was changed to the contact reaction; the indicators of bronchitis with mild poisoning were deleted; the obvious myocardial damage and obvious Liver and kidney damage terms; severe poisoning increased “alveolar pulmonary edema”, “acute respiratory distress syndrome” and “sudden death” clause. Conclusion The revised diagnostic criteria to adapt to occupational acute phosphine poisoning clinical features.