GBZ67-2015 English PDF

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GBZ67-2015: Diagnostic of occupational beryllium disease
Status: Valid

GBZ67: Historical versions

Standard ID	USD	BUY PDF	Lead-Days	Standard Title (Description)	Status
GBZ 67-2015	109	Add to Cart	3 days	Diagnostic of occupational beryllium disease	Valid
GBZ 67-2002	239	Add to Cart	3 days	Diagnostic Criteria of Occupational Beryllium Disease	Obsolete

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GBZ 57   GBZ 20   GB/T 67   GBZ 59   GBZ 68   

Basic data

Standard ID: GBZ 67-2015 (GBZ67-2015)
Description (Translated English): Diagnostic of occupational beryllium disease
Sector / Industry: National Standard
Classification of Chinese Standard: C60
Classification of International Standard: 13.1
Word Count Estimation: 5,579
Date of Issue: 2015-09-09
Date of Implementation: 2016-03-01
Older Standard (superseded by this standard): GBZ 67-2002
Quoted Standard: GB/T 16180; GBZ 18; GBZ 62; GBZ 70; GBZ 73; GBZ 188
Regulation (derived from): State-Health-Communication 2015 No.12
Issuing agency(ies): National Health and Family Planning Commission
Summary: This Standard specifies the criteria and principles of management of occupational beryllium disease. This Standard applies to acute or beryllium smelting industry, research and experimentation beryllium and beryllium processing of contact metal beryllium, beryllium oxide, carbonate, beryllium fluoride, beryllium hydroxide, beryllium and beryllium compounds other dust, smoke, etc. caused by the Chronic beryllium disease.

GBZ67-2002: Diagnostic Criteria of Occupational Beryllium Disease

---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Diagnostic Criteria of Occupational Beryllium Disease ICS 13.100 C60 GBZ People's Republic of China National Occupational Health Standards Diagnostic criteria for occupational beryllium disease Released in.2002-04-08 2002-06-01 Implementation Issued by the Ministry of Health of the People's Republic of China

Foreword

Article 6.1 of this standard is recommended and the remainder is mandatory. According to the "People's Republic of China Occupational Disease Prevention Law" to develop this standard. Since the date of implementation of this standard, the original standard GB 4868 -1996 inconsistent with this standard, the standard shall prevail. In contact with beryllium in the professional activities, can cause beryllium disease. To protect the health of workers, easy to carry out poisoning prevention and control work, and According to the diagnostic criteria for occupational diseases should reflect the latest clinical requirements, GB 4868-1996 was revised. The revision of this standard specifies the X-ray diagnosis of occupational beryllium disease, and removes the experiments in the original standard Room inspection method. Make the standard more realistic. Appendix A to this standard is an informative appendix. This standard is proposed and centralized by the Ministry of Health of the People's Republic of China. This standard is drafted by the Institute of Labor Protection of China Nonferrous Metals Industry Corporation. This standard is interpreted by the Ministry of Health of the People's Republic of China. Diagnostic criteria for occupational beryllium disease Beryllium disease is contact with beryllium and its compounds caused by the respiratory system damage-based systemic disease. Short-term inhalation of high concentrations Beryllium or its compounds, causing acute respiratory chemical inflammation of the main lesions, said acute beryllium disease, contact beryllium and its combination After a certain period of latent period to the lung granuloma and pulmonary interstitial fibrosis-based lesions, said chronic beryllium disease.

1 Scope

This standard specifies the diagnostic criteria and principles of occupational beryllium disease. This standard applies to beryllium smelting industry, beryllium processing and beryllium in the scientific research and testing of contact with metal beryllium, beryllium oxide, beryllium carbonate, Beryllium fluoride, beryllium hydroxide and other beryllium compounds such as smoke, smoke, etc. caused by acute or chronic beryllium disease.

2 normative reference documents

The terms of the following documents are hereby incorporated by reference into this standard. Any date that references the date of the document All subsequent amendments (excluding corrigenda) or revisions do not apply to this standard, however, The parties to the agreement are able to use the latest version of these documents. Those who do not mind the date of the reference file, its latest The version applies to this standard. GBZ 70 diagnostic criteria for pneumoconiosis GBZ 18 diagnostic criteria for occupational dermatosis (general)

3 diagnostic principles

According to a clear history of occupational exposure and respiratory system-based clinical manifestations and chest X-ray sign, refer to the operating environment Hygienic investigation and the determination of beryllium concentration in the air, a comprehensive analysis, excluding other similar diseases, can be diagnosed.

4 observation object

May have chest tightness, cough and other symptoms, chest X-ray performance is irregular small shadow on the basis of scattered in a lung area A small number of small grain shadows (less than 10 in the 2 cm range and 2/3 below the lung area).

5 Diagnostic and grading standards

5.1 chronic beryllium disease 5.1.1 Mild There are chest tightness, cough, shortness of breath, chest X-ray showed irregular small shadow on the basis of, and in 1 to 4 lung area There are more small particles in the shadow (density in the range of 2 cm has more than 10, and accounted for more than 2/3 of the lung area). 5.1.2 Severe Chest tightness, chest pain symptoms, in a quiet sense of shortness of breath, or the emergence of dyspnea, cyanosis, chest X-ray For the slight performance on the basis of small granular shadows distributed over four lung areas. 5.2 acute beryllium disease 5.2.1 Mild Nasopharyngeal dry pain, play cough, chest discomfort and other respiratory irritation symptoms, chest X-ray may have enhanced lung texture, twisted Song and disorder and so on. 5.2.2 Severe Shortness of breath, cough, sputum, hemoptysis, fever, lungs can be heard and wet rales, chest X-ray performance visible lung field Within the diffuse cloud flocculent or patchy shadows, sometimes pulmonary edema, respiratory failure or other organ damage.

6 Principles of handling

6.1 Principles of treatment 6.1.1 chronic beryllium disease In addition to symptomatic, supportive treatment, according to the disease can be applied adrenal glucocorticoid drugs. 6.1.2 acute beryllium disease Should leave the scene quickly. Clear body surface and clothing contaminants, mild cases of symptomatic treatment, severe In addition to routine medical treatment, Early application of adrenal glucocorticoid drugs. 6.2 Other treatments 6.1.1 Observe objects Generally not transferred from the beryllium operation, for a period of two years of close clinical observation (once every six months chest X-ray film). If not See the disease development, according to beryllium operator requirements to arrange regular health checks. 6.1.2 chronic beryllium disease Should be transferred from beryllium operations and other dust operations. For mild cases can be arranged for proper work, severe cases should be hospitalized and recuperate. 6.1.3 acute beryllium disease After treatment, in principle, no longer engaged in beryllium operations. Should be closely observed, every six months once chest X-ray examination. Such as even No change in two years, you can press the beryllium operators to observe the dynamic.

7 Correctly use the instructions in this standard

See Appendix A (informative).

Appendix A

(Informative) Correctly use the instructions in this standard A.1 This standard applies to beryllium smelting industry and beryllium processing and scientific research in contact with metal beryllium, beryllium oxide, beryllium sulfate, carbon Beryllium, beryl fluoride, beryllium hydroxide and other beryllium compounds such as smoke, dust, fog and other operations of the staff. A.2 beryllium caused by skin damage with reference to GBZ 70, but not as a professional diagnostic criteria for beryllium content. A.3 X-ray chest X-ray is the main basis for the diagnosis of beryllium, chest radiograph should meet the quality requirements can be used [reference GBZ 70 Appendix C (normative appendix)]. The small granular shadows referred to in the standard contain nodular shadows (2 to 5 mm in diameter) and granular Shadow (about 1 mm in diameter). A.4 In the diagnosis of the disease, should pay attention to the following diseases with differentiated. Miliary tuberculosis, pulmonary schistosomiasis, hemosiderosis, pneumoconiosis, sarcoidosis, alveolar cancer, pulmonary glaucoma and Non-specific interstitial fibrosis. A.5 with beryllium as the antigen of the specific immune indicators and beryllium skin patch test on the differential diagnosis of chronic beryllium disease is important. in Diagnostic indicators are not included in the revision. ......

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