GBZ58-2014 English PDF

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GBZ58-2014: Diagnosis of occupational acute sulfur dioxide poisoning
Status: Valid

GBZ58: Historical versions

Standard ID	USD	BUY PDF	Lead-Days	Standard Title (Description)	Status
GBZ 58-2014	139	Add to Cart	3 days	Diagnosis of occupational acute sulfur dioxide poisoning	Valid
GBZ 58-2002	199	Add to Cart	3 days	Diagnostic Criteria of Occupational Acute Sulfur Dioxide Poisoning	Obsolete

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Basic data

Standard ID: GBZ 58-2014 (GBZ58-2014)
Description (Translated English): Diagnosis of occupational acute sulfur dioxide poisoning
Sector / Industry: National Standard
Classification of Chinese Standard: C60
Classification of International Standard: 13.100
Word Count Estimation: 6,634
Date of Issue: 10/13/2014
Date of Implementation: 3/1/2015
Older Standard (superseded by this standard): GBZ 58-2002
Quoted Standard: GBZ 73; GBZ 78; GB/T 16180
Regulation (derived from): State-Health-Communication [2014] 14
Issuing agency(ies): National Health and Family Planning Commission
Summary: This standard specifies the principles of diagnosis and treatment of occupational acute sulfur dioxide poisoning. This standard applies to the diagnosis and treatment of occupational exposure to sulfur dioxide caused by acute intoxication. Acute occupatio

GBZ58-2002: Diagnostic Criteria of Occupational Acute Sulfur Dioxide Poisoning

---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 Acute Sulfur Dioxide Poisoning ICS 13.100 C60 GBZ People's Republic of China National Occupational Health Standards Diagnostic criteria for occupational acute sulfur dioxide poisoning 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 implementation of the standard date, the original standard GB 16378-1996 inconsistent with this standard, the standard shall prevail. In the exposure to sulfur dioxide in the professional activities can cause acute poisoning. In order to protect the health of the contact person, effectively prevent Treatment of acute sulfur dioxide poisoning, has released GB 16378-1996. The revised standard highlights the characteristics of acute sulfur dioxide poisoning, the main target organ of its toxic effects is the respiratory system, According to the extent of respiratory damage caused by sulfur dioxide, the classification of the diagnosis was made. In accordance with the "occupational diagnostic criteria for drafting And the rules of expression Part 1. the basic provisions of the diagnostic criteria for occupational diseases, "the requirements of the text and structure changes and in the diagnosis System and GBZ 73 phase convergence, so that the diagnosis is more clear and reasonable, easy to use. 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 Beijing Chemical Industry Occupational Disease Prevention and Control Institute and Nanjing Institute of Chemical Industry (Group) Company Occupational Disease Prevention and Control. This standard is interpreted by the Ministry of Health of the People's Republic of China. Diagnostic criteria for occupational acute sulfur dioxide poisoning Occupational acute sulfur dioxide poisoning, is in the production of labor or other professional activities, a short period of time exposure to high concentrations of dioxy Sulfur gas caused by the acute respiratory system damage to the main systemic disease.

1 Scope

This standard specifies the diagnostic criteria and principles of occupational acute sulfur dioxide poisoning. This standard applies to occupational exposure to sulfur dioxide caused by acute poisoning. Sulfuric acid caused by acute poisoning similar performance, You can also use this standard.

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. Identification of Occupational Injury and Occupational Disease Disability in Staff and Workers GB/T 16180 GBZ 73 Occupational acute chemicals - Criteria for the diagnosis of toxic respiratory diseases

3 diagnostic principles

According to a short period of time exposure to high concentrations of sulfur dioxide occupational history and typical clinical manifestations, combined with on-site labor hygiene Investigation, comprehensive analysis, and exclude other similar diseases; can be diagnosed.

4 stimulus response

Eye and upper respiratory tract irritation symptoms, but short term (1 to 2 days) can return to normal, chest examination and X-ray sign Like no exception.

5 Diagnostic and grading standards

5.1 mild poisoning In addition to the above performance increased, but also accompanied by headache, nausea, vomiting, fatigue and other systemic symptoms; conjunctiva, nasal mucosa and pharynx Laryngeal congestion and edema, the lungs have a dry rales or wheeze; chest X-ray can only be manifested as enhanced lung texture. 5.2 moderate poisoning In addition to mild poisoning increased clinical manifestations, there are chest tightness, play cough, sputum, difficulty breathing, etc .; and shortness of breath, mild Cyanosis, the lungs have obvious wet rales and other signs; chest X-ray signs of lung field transparency decreased, there are fine mesh and/or Scattered in the patchy shadows, in line with pulmonary interstitial edema or chemical pneumonia signs. 5.3 severe poisoning In addition to the clinical manifestations of moderate poisoning, one of the following circumstances can be diagnosed as severe poisoning. a) alveolar pulmonary edema; b) sudden shortness of breath, respiratory rate> 28 times/min, blood gas analysis PaO2 < 8 kPa, when inhaled low concentration of oxygen Less than 50%), the arterial oxygen pressure can not be maintained at 8 kPa, and there is a continuous downward trend; c) the severity of pneumothorax, mediastinal emphysema and other complications; d) suffocation or coma.

6 Principles of handling

6.1 Principles of treatment 6.1.1 immediately from the poisoning scene, lying, warm, oxygen. To sodium bicarbonate, aminophylline, dexamethasone, antibiotic fog Inhalation. Rinse the conjunctival sac with saline or water. 6.1.2 Inhalation of high concentrations of sulfur dioxide, although no objective signs, but there are obvious stimulus response, should observe 48 h, and Treatment of disease. 6.1.3 attention to prevention and treatment of pulmonary edema, early, adequate, short-term application of glucocorticoids. If necessary, tracheotomy. 6.1.4 oxygen therapy, prevention and treatment of infection, a reasonable infusion, to correct electrolyte imbalance and anti-shock and other medical treatment with the same principles. 6.2 Other treatments Acute mild to moderate poisoning can be cured after healing. Severe poisoning or poisoning after a sustained significant respiratory system Those who should be transferred from the irritating gas operations. Those who need to carry out the ability to work according to GB/T 16180

7 Correctly use the instructions in this standard

See Appendix A (informative).

Appendix A

(Informative) Correctly use the instructions in this standard A.1 due to exposure to high concentrations of sulfuric acid gas caused by acute poisoning, the clinical manifestations are similar to the diagnostic treatment can be applied This standard. A.2 This standard does not apply to other clinical conditions caused by prolonged exposure to low concentrations of sulfur dioxide. A.3 The disease to respiratory disease-based, so the diagnostic criteria to respiratory symptoms, signs and chest X-ray performance To diagnose the index. Others such as peripheral blood, ECG, etc. should be checked, but not consistent with the degree of poisoning, not as a diagnosis Off reference. A.4 clinical manifestations and chest X-ray performance may not be parallel. Diagnosis should be combined with the actual situation, comprehensive analysis of the decision. A.5 lung function tests are only included in the health check requirements, but the poisoning patients should be allowed to check as much as possible. ......

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