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目的查明某厂有害作业人员所患的职业性黑变病及相关职业危害因素,为职业病防治提供科学依据。方法了解临床资料,开展卫生学调查,对患者基本情况、作业环境及有害因素浓度监测结果作综合分析。结果根据调查监测的有关资料,以国家标准GBZ 22—2002《职业性黑变病诊断标准》为判断依据,确诊5例病人为职业性黑变病,并查明引起该病的原因。结论作业人员所患的职业性黑变病为车间内焦油浓度超标、作业工龄过长等综合因素引起,应加强作业人员培训、健康检查和个人的防护,改善作业环境。
Objective To find out the occupational melanosis and related occupational hazards caused by harmful workers in a factory and provide a scientific basis for the prevention and control of occupational diseases. Methods To understand the clinical data, to carry out hygiene surveys, comprehensive analysis of the basic situation of patients, operating environment and the concentration of harmful factors for monitoring results. Results According to the survey and monitoring of the relevant information, with the national standard GBZ 22-2002 “diagnostic criteria for occupational melanosis” as the basis for the diagnosis of 5 cases of patients with occupational melanosis and identify the cause of the disease. Conclusion The occupational melanosis of workers is caused by the comprehensive factors such as excessive tar concentration in the workshop, long working length of service and so on. Training, health examination and personal protection should be strengthened to improve working environment.