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GBZ36-2015 English PDF

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GBZ36-2015: Diagnosis of occupational acute tetraethyl lead poisoning
Status: Valid

GBZ36: Evolution and historical versions

Standard ID	Contents [version]	USD	STEP2	[PDF] delivered in	Standard Title (Description)	Status	PDF
GBZ 36-2015	English	129	Add to Cart	3 days [Need to translate]	Diagnosis of occupational acute tetraethyl lead poisoning	Valid	GBZ 36-2015
GBZ 36-2002	English	199	Add to Cart	3 days [Need to translate]	Diagnostic Criteria of Occupational Acute Tetraethyl Lead Poisoning	Obsolete	GBZ 36-2002

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Basic data

Standard ID	GBZ 36-2015 (GBZ36-2015)
Description (Translated English)	Diagnosis of occupational acute tetraethyl lead poisoning
Sector / Industry	National Standard
Classification of Chinese Standard	C60
Classification of International Standard	13.1
Word Count Estimation	6,627
Date of Issue	2015-09-09
Date of Implementation	2016-03-01
Older Standard (superseded by this standard)	GBZ 36-2002
Quoted Standard	GB/T 16180; GBZ 76; GBZ/T 228
Regulation (derived from)	State-Health-Communication 2015 No.12
Issuing agency(ies)	National Health and Family Planning Commission
Summary	This Standard specifies the occupational acute tetraethyl lead poisoning diagnostic criteria and principles. This Standard applies to the professional activities of acute intoxication due to exposure to tetraethyl lead, ethyl liquid or high concentrations of ethyl gasoline caused. Non-occupational activities, tetraethyl lead exposure, acute poisoning and a high concentration of liquid ethyl may also refer to the use of gasoline caused.

GBZ36-2002: Diagnostic Criteria of Occupational Acute Tetraethyl Lead 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 Tetraethyl Lead Poisoning ICS 13.100 C60 GBZ People's Republic of China National Occupational Health Standards Diagnostic criteria for occupational acute tetraethyl lead 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 11503-1989 inconsistent with this standard, the standard shall prevail. Tetraethyl lead is a gasoline additive that can cause acute poisoning by an accident due to an accident in a professional activity. The original urgent Sexually transmitted disease diagnostic standards since the implementation of nearly a decade, during which there are related standards issued for the implementation of more effective for the defense Treatment of acute tetraethyl lead poisoning, according to state regulations to be revised to the original standard. This standard on the basis of the original standard, focusing on acute mild poisoning and severe poisoning diagnostic indicators, severe poisoning treatment Principles and the "correct use of the description of this standard" were partially supplemented and modified, and in the appendix to this standard added "base Body temperature, blood pressure, pulse measurement methods and standards "to make the diagnostic criteria more clear, reasonable and easy to use. Appendix A to this standard is an informative appendix and Appendix B is a normative appendix. This standard is proposed and centralized by the Ministry of Health of the People's Republic of China. This standard is drafted by Jinzhou City Occupational Disease Prevention and Control Research Institute and Jinxi Chemical Plant. Research on Labor and Hygiene in Dalian City Institute, Liaoning Province, occupational disease prevention and control hospital, Jinzhou Petrochemical Company Hospital, Jinxi Petrochemical Plant workers hospital to participate in the drafting. This standard is interpreted by the Ministry of Health of the People's Republic of China. Diagnostic criteria for occupational acute tetraethyl lead poisoning Occupational acute tetraethyl lead poisoning is caused by exposure to tetraethyl lead in short-term exposure to acute toxicity in occupational activities Encephalopathy and mental disorders based systemic disease.

1 Scope

This standard specifies the diagnostic criteria and principles of occupational acute tetraethyl lead poisoning. This standard applies to occupational activities due to contact with tetraethyl lead, ethyl liquid or high concentrations of ethyl gasoline caused by acute poison. Non-occupational activities in contact with tetraethyl lead, ethyl liquid and high concentrations of ethyl gasoline caused by acute poisoning can also refer to the use.

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 76 Occupational acute chemical poisoning Nervous system disease diagnostic criteria

3 diagnostic principles

According to the short-term exposure to a large number of tetraethyl lead occupational history, the emergence of acute encephalopathy and its mental disorders mainly clinical Shape, signs, combined with workplace labor hygiene survey data, comprehensive analysis, excluding other similar manifestations of the disease before diagnosis.

4 contact reaction

There insomnia, dreams, headache, loss of appetite, nausea and other symptoms of neurosis, in a short time subsided.

5 Diagnostic and grading standards

5.1 mild poisoning The above symptoms increased, severe insomnia, nightmares, severe headache, dizziness and other symptoms, and has one of the following. a) easy to excitement, impatience, irritability, anxiety and other mild mental disorders; b) hysterical type of neurological manifestations; c) basal body temperature, blood pressure or pulse reduction, see Appendix B (normative appendix). 5.2 severe poisoning One of the following. a) mental excitement; b) disturbance of consciousness is delirious or coma; C) epileptic seizures or epilepsy persistence.

6 Principles of handling

6.1 Principles of treatment 6.1.1 On-site processing. Immediately leave the poisoning scene, take off contaminated clothing, shoes and hats, with soapy water or water thoroughly washed contaminated skin, refers to A, hair, etc., pay attention to insulation. 6.1.2 Contact reaction Close observation of nerve, mental changes, to give the necessary checks and symptomatic treatment. 6.1.3 mild poisoning Close observation of disease changes, symptomatic treatment. 6.1.4 severe poisoning In addition to support and symptomatic therapy, the active prevention and treatment of brain edema. Psychotic excitement or epileptic seizures occur Do not give stabilizers or antiepileptic agents, to prevent excessive excitement and failure, while strengthening the care to prevent accidents. 6.2 Other treatments 6.2.1 mild poisoning treatment, the short break, can arrange the original work. 6.2.2 Severe poisoning should be transferred from toxic operations, and according to the recovery of the disease decided to rest or appropriate work. 6.2.3 after the severe poisoning, such as the ability to identify workers according to GB/T 16180 the relevant provisions of the deal.

7 Correctly use the instructions in this standard

See Appendix A (informative), Appendix B (normative).

Appendix A

(Informative) Correctly use the instructions in this standard A.1 This standard applies to tetraethyl lead workers, also applies to ethyl liquid and high concentrations of ethyl gasoline workers. A.2 The use of this standard, must have a clear history of occupational exposure and cause acute poisoning of the special conditions, such as contact, Degree, time and protection conditions, the field of air tetraethyl lead concentration determination of the results of reference, and should not be ignored The possibility of percutaneous absorption of tetraethyl lead. A.3 The disease in addition to a very small number of patients exposed to tetraethyl lead immediately symptoms, and gradually increased, have to go through a certain incubation period After the symptoms and signs appear, the incubation period varies, the shortest 30 minutes, the longest up to 27 days, more common 1-10 Day, generally no more than 20 days. Therefore, during this period of excessive exposure to tetraethyl lead, should pay attention to follow-up observation. A.4 acute tetraethyl lead poisoning in patients with mental disorders is more prominent, mild poisoning for easy excitement, impatience, irritability, anxiety And hysterical type of neurosis, severe poisoning for restlessness, insanity, hallucinations, delusions, delirium, personality changes, To violent behavior and other mental exercise excitement. The above symptoms, should be psychiatric and neurological methods to check, If necessary, to the relevant units and personnel to investigate. A.5 acute tetraethyl lead poisoning patients often manifested as autonomic nervous system dysfunction, autonomic dysfunction can be expressed as "three Low "sign," three low "sign refers to the basal body temperature, blood pressure, pulse reduction, in some acute tetraethyl lead poisoning patients can be seen, But "three low" does not necessarily exist at the same time, often "a low" or "two low", no "three low" who can not deny poisoning can can. Other autonomic nerve tests (skin scratches, ocular reflexes, vertical hair reflexes, recumbent reflexes, recumbent reflexes, Blood pressure, two skin temperature difference, etc.), because the method is not a unified specification, not as a diagnostic indicator, for reference when the diagnosis. A.6 differential diagnosis. the disease should be associated with acute gasoline poisoning, mental illness, central nervous system infections, alcoholism, neurosis Phase identification. A.7 acute severe tetraethyl lead poisoning such as incomplete recovery, according to GB/T 16180 treatment.

Appendix B

(Normative appendix) Basal body temperature, blood pressure, pulse measurement methods and standards Basal body temperature, blood pressure, pulse, refers to the subjects in the morning sober state, did not get up activities, not eating the body temperature, Blood pressure, pulse. B.1 body temperature B.1.1 axillary test method. the armpit sweat dry, the thermometer on the armpit deep, with the upper arm will be thermometer clamping, placed 10 Minutes after the reading, the measured value below 36 ℃ for low body temperature. B.1.2 mouth test method. the disinfection of the thermometer placed in the tongue, close your lips, do not breathe, put 5 minutes after reading The measured value below 36.3 ℃ for low body temperature. B.1.3 anal test method. take the lateral position, the anal body thermometer head coated with lubricant, slowly inserted into the anus, deep body temperature gauge Half of the degree, put 5 minutes after reading. The measured value is below 36.5 ° C for low body temperature. B.2 Blood pressure Using cuff compression (ie, sphygmomanometer). Generally take the right upper limb. Measured at 12.0/8.0 kPa (90/60 mmHg) The following is hypotension, due to 45 years of age who systolic blood pressure increased with age (each increase of 10 years increased 1.33kPa), Shu Zhang pressure in addition to the elderly over the age of 60 have a downward trend, the 60 years of age who do not change, so the diagnosis should be comprehensive analysis. B.3 pulse The use of radial artery palpation method (special circumstances can also check the temporal artery, carotid artery, brachial artery, etc.). when necessary, Both sides are required palpation measurements for comparison. Each time should be measured more than 1 minute. Measured value of 60 times/min or less for the low pulse rate. The above three measurements are required for two consecutive days, once a day.

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