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目的对苯所致职业性疾病的诊断过程进行总结和探讨。方法通过分析东莞市近年来诊断的职业性慢性苯中毒、苯所致白血病的病例,提出苯所致职业性疾病诊断的难点。结果苯所致白血病诊断存在的主要难点:苯作业累计工龄1年以上该如何界定;慢性苯中毒诊断存在的主要难点:诊断原则中较长时间、密切接触如何界定;职业活动范围的问题。结论由于苯所致职业性疾病缺乏特异性生物标志物,而目前相关的诊断标准又较为笼统,在诊断过程中常难以掌握应用,希望相关部门在全国范围内加强培训,明确相关问题,为广大劳动者提供更加公平、公正的诊断结果 。
Objective To summarize and discuss the diagnosis of occupational diseases caused by benzene. Methods By analyzing the cases of chronic benzene poisoning and benzene-induced leukemia diagnosed in Dongguan City in recent years, this paper put forward the difficulty in the diagnosis of occupational diseases caused by benzene. Results The main difficulties in the diagnosis of leukemia caused by benzene are: how to define the total length of benzene operation for more than one year; the main difficulties in the diagnosis of chronic benzene poisoning include the longer diagnosis time, the close contact and the scope of occupational activities. Conclusion Due to the lack of specific biomarkers of occupational diseases caused by benzene, the relevant diagnostic criteria are still relatively general, and it is often difficult to grasp the application in the diagnosis process. We hope relevant departments can strengthen their training throughout the country, clarify the relevant issues and work for the general workforce Provide more fair and equitable diagnosis.