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GBZ11-2014: Diagnosis of occupational acute phosphine poisoning
Status: Valid GBZ11: Evolution and historical versions
| Standard ID | Contents [version] | USD | STEP2 | [PDF] delivered in | Standard Title (Description) | Status | PDF |
| GBZ 11-2014 | English | 139 |
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Diagnosis of occupational acute phosphine poisoning
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GBZ 11-2014
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| GBZ 11-2002 | English | 239 |
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Diagnostic Criteria of Occupational Acute Phosphine Poisoning
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GBZ 11-2002
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PDF similar to GBZ11-2014
Standard similar to GBZ11-2014 GBZ 57 GBZ 20 GBZ 49 GBZ 6 GBZ 10 GBZ 15 Basic data | Standard ID | GBZ 11-2014 (GBZ11-2014) | | Description (Translated English) | Diagnosis of occupational acute phosphine poisoning | | Sector / Industry | National Standard | | Classification of Chinese Standard | C60 | | Classification of International Standard | 13.100 | | Word Count Estimation | 6,656 | | Date of Issue | 10/13/2014 | | Date of Implementation | 3/1/2015 | | Older Standard (superseded by this standard) | GBZ 11-2002 | | Quoted Standard | GBZ 73; GBZ 76; GBZ 78; GB/T 16180 | | Regulation (derived from) | State-Health-Communication [2014] 14 |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 phosphine poisoning. This standard applies to occupational acute phosphine poisoning diagnosis and treatment. | GBZ11-2002: Diagnostic Criteria of Occupational Acute Phosphine 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 Phosphine Poisoning
ICS 13.100
C60
GBZ
People's Republic of China National Occupational Health Standards
Diagnostic criteria for occupational acute phosphine 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 5.1 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 7797-1987 inconsistent with this standard, subject to this standard.
In the exposure to phosphine in the professional activities, can occur acute carbon tetrachloride poisoning. In order to protect the health of the contact person,
Easy to carry out poisoning prevention and control work, and in accordance with occupational disease diagnostic criteria should reflect the latest clinical progress requirements,
GB 7797-1987 was revised.
The original standard stipulates the diagnostic criteria and principles of occupational acute phosphine poisoning. In recent ten years,
Data show that the diagnosis of phosphorus poisoning indicators involved in heart, lung, brain, kidney and other important organs of the relevant provisions of the damage can be based on
Occupational disease target organ damage with the principle of identity, can refer to the relevant general standards within the relevant provisions of the implementation. This standard
The appendix contains a description of the relationship between this standard and the relevant general criteria.
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 of occupational health and poisoning control and Henan Township Egret Chemical Fiber Group
Heart Hospital is responsible for drafting. Participate in the drafting of the units of Xi'an Central Hospital and Xinxiang City, Henan Province, Institute of Occupational Disease Prevention.
This standard is interpreted by the Ministry of Health of the People's Republic of China.
Diagnostic criteria for occupational acute phosphine poisoning
Acute phosphine poisoning is caused by the high concentration of phosphine gas inhalation caused by the nervous system, respiratory system-based
Systemic disease.
1 Scope
This standard specifies the diagnostic criteria and principles of occupational acute phosphine poisoning.
This standard applies to the diagnosis and treatment of phosphating poisoning in occupational activities.
2 normative reference documents
The 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.
Identification of Occupational Injury and Occupational Disease Disability in Staff and Workers GB/T 16180
Diagnostic criteria for occupational toxic liver disease
GBZ 73 Occupational acute chemicals - Criteria for the diagnosis of toxic respiratory diseases
Diagnostic criteria for occupational acute chemical toxic heart disease GBZ 74
3 diagnostic principles
According to the occupational history of exposure to higher concentrations of phosphine, the incidence of rapid, combined with clinical symptoms, signs and other necessary clinical
Check, refer to the scene of labor hygiene survey results, comprehensive analysis, and exclude other similar symptoms of the disease, can be diagnosed.
4 observation object
Headache, fatigue, nausea, cough and other nervous system and respiratory symptoms, but less symptoms, less light, off
More than 24 hours after contact with the disappearance.
5 Diagnostic and grading standards
5.1 mild poisoning
One of the following.
a) mild disturbance of consciousness;
b) mild dyspnea, the lungs hear a small amount of dry, wet rales, in line with chemical bronchitis or bronchial inflammation. 5.2
Severe poisoning
In addition to mild poisoning performance, there are one of the following circumstances, or the beginning of poisoning that is one of the following circumstances.
a) coma, convulsions;
b) Pulmonary edema;
c) shock;
d) significant myocardial damage;
e) obvious liver and kidney damage.
6 Principles of handling
6.1 Principles of treatment
6.1.1 Immediately leave the scene and stay quiet.
6.1.2 The observation object should be observed for 24 hours, according to the situation. Poisoned patients should stay in bed, at least 24 to 48 observation
Hour, with early detection of condition changes.
6.1.3 treatment to symptomatic treatment and support the treatment of the main. To be early, actively deal with coma, pulmonary edema, myocardium or liver, kidney
Damage and so on. Its treatment principles and nursing are the same as internal medicine.
6.2 Other treatments
6.2.1 poisoning patients generally can be cured. Mild poisoning in more than 1 to 2 weeks to recover, after the restoration of the original work. Severe
Poisoned patients after active treatment can also be fully restored.
6.2.2 review of a small number of patients by rescue rescue, after the acute phase is still obvious symptoms, according to the results of the inspection discretion.
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 acute phosphine poisoning. Phosphine can produce phosphating substances are calcium phosphate, aluminum phosphide, zinc phosphide and so on.
Elemental phosphorus only produces phosphine under specific reducing conditions. Phosphorus, phosphorus and other inorganic compounds and organic compounds
The role of human and phosphine are different. Its poison diagnosis and treatment are not the same.
A.2 phosphide, zinc phosphide manufacturing, packaging, transportation and use of aluminum phosphide fumigation, fur and other industries can access to
Higher concentrations of phosphine. Acetylene gas and silicon iron transport operations due to mixing raw materials such as calcium phosphate impurities, will produce phosphating
hydrogen. Workers working under these conditions can also be exposed to higher concentrations of phosphine under certain conditions.
A.3 phosphine olfactory threshold of about 4.2mg/m3 (3ppm), exposure to phosphine 10 mg/m3 (7ppm) above the concentration of air
A few hours to produce poisoning. So the contact person can generally provide a similar smell of garlic smell similar to the history of contact. Site phosphine
Concentration detection helps diagnose.
A.4 phosphine poisoning without specific performance, but according to contact and clinical examination see a comprehensive analysis, diagnosis of a
It is not difficult.
A.5 contact reaction is not within the scope of poisoning. But the disease changes after the disease is relatively fast, therefore, should be observed contact with the respondents,
Early detection of condition changes.
A.6 Phosphine poisoning No specific antidote, first aid can not use oxime drugs. For critically ill patients such as pulmonary edema,
If you can do early detection, early treatment, the prognosis is better.
A.7 poisoning diagnosis grading standards mentioned in the "lung, heart, liver, kidney" damage did not specify the specific performance.
When practically applying the standard provisions, the diagnosis should be based on the relevant general criteria and the acute chemical toxicity of the respiratory system
(GBZ 73), the diagnosis of heart disease (GBZ 74), the diagnosis of toxic liver disease (GBZ 59) and other standards.
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