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Delivery: <= 3 days. True-PDF full-copy in English will be manually translated and delivered via email. GBZ6-2024: Diagnostic standard for occupational chronic allyl chloride poisoning Status: Valid GBZ6: Historical versions
Basic dataStandard ID: GBZ 6-2024 (GBZ6-2024)Description (Translated English): Diagnostic standard for occupational chronic allyl chloride poisoning Sector / Industry: National Standard Classification of Chinese Standard: C60 Classification of International Standard: 13.100 Word Count Estimation: 6,682 Date of Issue: 2024-05-09 Date of Implementation: 2025-05-01 Issuing agency(ies): State Administration for Market Regulation, China National Standardization Administration Summary: This standard specifies the diagnostic principles and diagnostic classification of occupational chronic allyl chloride poisoning. This standard applies to the diagnosis of chronic poisoning caused by long-term exposure to allyl chloride in occupational activities. GBZ6-2002: Diagnostic Criteria of Occupational Chronic Allyl Chloride 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 Chronic Allyl Chloride Poisoning ICS 13.100 C60 GBZ People's Republic of China National Occupational Health Standards Diagnostic criteria for occupational chronic chloroprene poisoning Released in.2002-04-08 2002-06-01 Implementation Issued by the Ministry of Health of the People's Republic of China ForewordArticle 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 4865-1985 inconsistent with this standard, the standard shall prevail. Chloropropene (3-chloropropene, allyl chloride) as a chemical raw materials, mainly for the production of epichlorohydrin, sodium sulfonate, Insecticidal double industry. This product is easy to volatilize at room temperature, in the protection of ill-conditioned conditions for long-term contact, can cause weeks Disturbed nerve damage mainly chronic poisoning. To protect the health of workers, effective prevention and treatment of chronic chloropropene poisoning, in the summary of the domestic Clinical practice experience and analysis of domestic and foreign research on the basis of the development of this standard. 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 by the Chinese Center for Disease Control and Prevention Occupational Health and Poison Control Institute, Shandong Province, occupational health and disease prevention and control research The institute is responsible for drafting. This standard is interpreted by the Ministry of Health of the People's Republic of China. Diagnostic criteria for occupational chronic chloroprene poisoning Chronic chloropropene poisoning is the industrial production of close contact with chloropropene (allyl chloride) caused by peripheral nerve damage The disease of the Lord. Its clinical manifestations in addition to varying degrees of limb distal sensory, motor or tendon reflex disorder, the nerve - EMG Can show neurogenic damage.1 ScopeThis standard applies to the production of chloropropene and in epichlorohydrin, sodium sulfonate, insecticidal double or Bataan and other industrial production Long-term exposure to chloropropenes cause poisoning.2 normative reference documentsThe terms of the following documents are hereby incorporated by reference into this standard. Any reference to the date of the document, All subsequent amendments (excluding corrigenda) or revisions do not apply to this standard, however, The parties to the standard agreement have studied whether the latest versions of these documents can be used. Those who do not mind the date of the reference file, the most The new version applies to this standard. GBZ 76 Occupational acute chemical poisoning Nervous system disease diagnostic criteria3 diagnostic principlesAccording to the long-term close contact with the history of chloropropene and multiple peripheral nerve damage-based clinical symptoms, signs to And neurological-electromyographic changes, combined with on-site hygiene investigation and determination of chloropropene concentration in the air, excluding other causes From the peripheral neuropathy, can be diagnosed with chronic chloropropene poisoning.4 observation objectAny of the following, can be listed as the object of observation. 4.1 have heavy legs, fatigue, numbness of the extremities, soreness, pain, cold and other symptoms, or nerve - EMG has a suspicious Neurogenic damage, no peripheral nerve damage signs. 4.2 Only nerve-electromyography shows typical symptoms and signs of suspected neurological damage without peripheral nerve damage.5 Diagnostic and grading standards5.1 mild poisoning In addition to the above symptoms, with any of the following, can be diagnosed with mild poisoning. 5.1.1 symmetry of the gloves socks-like distribution of pain, touch, tuning fork vibration disturbance, while the Achilles tendon reflex. 5.1.2 signs of mild or not obvious, but the nerve - electromyography showed a positive neurological damage. 5.2 severe poisoning At the same time with any of the following four manifestations can be diagnosed as severe poisoning. 5.2.1 limb weakness (muscle strength 3 degrees or less than 3 degrees), or limbs distal muscle atrophy. 5.2.2 limb pain, touch, tuning fork vibration disturbance, the majority of symmetrical gloves socks-like distribution, and the upper bound to the elbow or The knees. 5.2.3 Achilles tendon reflexes disappear. 5.2.4 electromyography showed neurogenic damage, and there are more spontaneous nerve potential.6 Principles of handling6.1 Principles of treatment Can be used B vitamins, energy mixture or with the role of blood circulation of traditional Chinese medicine treatment, supplemented by physical therapy, physical therapy, acupuncture Moxibustion therapy and symptomatic treatment. 6.2 Other treatments 6.2.1 observation of the object is generally not transferred from the operation of chloropropene, should be reviewed once a half, as far as possible nerve - electromyography, Dynamic observation. 6.2.2 Where the diagnosis of mild chronic chloropropene poisoning, transferred from the operation of chloropropene, after short-term treatment can engage in other work and Should be reviewed regularly. 6.2.3 Patients who are diagnosed with severe chronic chloropropenic poisoning are no longer involved in chloropropene and other harmful effects on the nervous system. industry. After treatment, arrange the rest and work according to the examination result.7 Correctly use the instructions in this standardSee Appendix A (informative).Appendix ACorrectly use the instructions in this standard (Informative) A.1 Determination of the concentration of chloropropene in the air of the workshop is of reference significance for diagnosis. A.2 The disease with multiple peripheral neuropathy for its main clinical manifestations. In the absence of the conditions for neurological - electromyography, The diagnostic significance of individual abnormal signs is difficult to determine, there must be heavy legs, fatigue, limb acid, hemp, pain and other symptoms, and both There is a relatively constant peripheral distribution of pain, tactile or tuning fork vibration disturbance and side or bilateral Achilles tendon reflex only diagnosis. Sensory examination should be repeated several times, Achilles tendon reflex examination should take the prone knee position. Refer to the classification criteria for muscle weakness GBZ 76 Appendix C. A.3 Neuro-electromyography is important for early diagnosis of this disease. Chronic chloropropene poisoning should be the axis of the peripheral nerve Cable damage-based, should focus on checking the limbs of the distal muscles of the EMG, such as the hand thumb short muscle and small finger muscle; Meat inspection is not easy to get with the prosecution, so the lower limb examination often used tibial anterior muscle or gastrocnemius muscle. When measuring nerve conduction velocity, Upper limbs generally take the median nerve and ulnar nerve, lower limbs generally take the common nerve and posterior tibial nerve. Should be in accordance with GBZ 76 Appendix B.1 And B.2 in a unified method of operation, refer to the relevant normal and neurological damage to determine the benchmark to make judgments. A.4 peripheral neuropathy can be caused by other diseases, such as diabetes, nutritional deficiencies, oppressive injury, drugs and other workers Toxic poisoning and hereditary diseases, infectious diseases or connective tissue disease, it should be from the professional history, history, physical examination and experiment Room check to be excluded. ......Tips & Frequently Asked Questions:Question 1: How long will the true-PDF of GBZ6-2024_English be delivered?Answer: Upon your order, we will start to translate GBZ6-2024_English as soon as possible, and keep you informed of the progress. The lead time is typically 1 ~ 3 working days. The lengthier the document the longer the lead time.Question 2: Can I share the purchased PDF of GBZ6-2024_English with my colleagues?Answer: Yes. 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