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目的分析在对尘肺病患者的粉尘接触史问诊过程中遇到的困难和成因,提出相应解决对策。方法采用个案分析方法。结果造成问诊困惑的原因包括:患者因某种原因刻意隐瞒粉尘接触史造成问诊困难;企业经营者转换造成粉尘接触史问诊困难。结论尘肺的发病是一个长期过程,真实的粉尘危害接触史对尘肺病诊断非常重要,诊断组应根据当前社会用工复杂形式改进问诊方式,明确危害暴露史;加大职业卫生监督的执法力度,做好从业人员职业卫生知识宣传教育工作。
Objective To analyze the difficulties and causes encountered in the consultation process of dust exposure history of patients with pneumoconiosis and put forward the corresponding solutions. Methods using case analysis. The results caused confusion because of some reasons include: the patient for some reason to deliberately conceal the history of exposure to dust caused by the consultation difficulties; conversion caused by business operators dust contact history to ask the diagnosis difficult. Conclusion The incidence of pneumoconiosis is a long-term process. The real contact history of dust hazard is very important for the diagnosis of pneumoconiosis. The diagnosis group should improve the way of interrogation according to the complex forms of employment in society so as to clarify the history of exposure. To intensify the enforcement of occupational health supervision, Do a good job of practitioners knowledge of occupational health education.