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GBZ42-2002: Diagnostic Criteria of Occupational Acute Carbon Tetrachloride Poisoning
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Diagnostic Criteria of Occupational Acute Carbon Tetrachloride Poisoning
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GBZ 42-2002
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Basic data | Standard ID | GBZ 42-2002 (GBZ42-2002) | | Description (Translated English) | Diagnostic Criteria of Occupational Acute Carbon Tetrachloride Poisoning | | Sector / Industry | National Standard | | Classification of Chinese Standard | C60 | | Word Count Estimation | 5,573 | GBZ42-2002: Diagnostic Criteria of Occupational Acute Carbon Tetrachloride 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 Carbon Tetrachloride Poisoning
ICS 13.100
C60
GBZ
People's Republic of China National Occupational Health Standards
Diagnostic criteria for occupational acute carbon tetrachloride 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 11509-1989 inconsistent with this standard, subject to this standard.
In the occupational exposure to carbon tetrachloride, acute carbon tetrachloride poisoning can occur. To protect the health of the contact person,
Easy to carry out poisoning prevention and control work, and in accordance with the diagnostic criteria for occupational diseases should reflect the latest clinical requirements, the GB 11509
-1989 was revised.
The standard GB 11509-1989 version of the provisions of the occupational acute carbon tetrachloride poisoning diagnostic criteria and treatment of the original
, This review reviewed the recent nine years at home and abroad related clinical literature, the results that the original standard diagnosis and treatment principles clear
Clean, in line with clinical practice, in principle, can continue to use.
In recent years, the state has promulgated and implemented a series of standards for the nature of acute chemical poisoning. According to occupational disease target organ damage
Damage to the table with the principle of identity, the original standard involved in the nervous system, liver and kidney damage related to the content, can refer to the relevant
General provisions within the relevant provisions of the standard. The relationship between this standard and the relevant general criteria is added to the appendix to this standard
Bright.
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 Guangdong Provincial Occupational Disease Prevention and Control Hospital is responsible for drafting, to participate in the drafting of the units of Zhongshan Medical University Public Health
Hospital, Chongqing Tianyuan chemical factory workers hospital and Henan province occupational disease prevention and control hospital.
This standard is interpreted by the Ministry of Health of the People's Republic of China.
Diagnostic criteria for occupational acute carbon tetrachloride poisoning
Occupational acute carbon tetrachloride poisoning is caused by exposure to higher concentrations of carbon tetrachloride during short periods of exposure to occupational activities
Of the nervous system and (or) liver and kidney damage-based systemic disease.
1 Scope
This standard specifies the diagnostic criteria and principles of occupational acute carbon tetrachloride poisoning.
This standard applies to the diagnosis and treatment of occupational acute carbon tetrachloride poisoning, non-occupational acute poisoning can 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.
Diagnostic criteria for occupational toxic liver disease
GBZ 76 Occupational acute chemical poisoning Nervous system disease diagnostic criteria
Diagnostic criteria for occupational acute toxic nephropathy
Identification of Occupational Injury and Occupational Disease Disability in Staff and Workers GB/T 16180
3 diagnostic principles
According to the short-term exposure to higher concentrations of carbon tetrachloride occupational history, the rapid emergence of the central nervous system and/or liver, kidney
The clinical manifestations, combined with laboratory tests and on-site labor hygiene survey data comprehensive analysis, excluding other causes caused by
Like the disease, before diagnosis.
4 contact reaction
Exposure to carbon tetrachloride after a transient dizziness, headache, fatigue, or accompanied by eye, upper respiratory tract mucosal irritation
By.
5 Diagnostic and grading standards
5.1 mild poisoning
In addition to dizziness, headache, fatigue or eye, upper respiratory tract mucosal irritation, and has one of the following performance.
a) gait staggering or mild disturbance of consciousness;
b) liver enlargement, tenderness and mild liver dysfunction;
c) proteinuria, or hematuria and tubular urine.
5.2 severe poisoning
The above symptoms are aggravated and have one of the following manifestations.
a) coma;
b) severe toxic liver disease;
c) severe toxic nephropathy.
6 Principles of handling
6.1 Principles of treatment
6.1.1 immediately from the scene, according to the general emergency treatment, and early oxygen.
6.1.2 poisoning should be bed rest, close observation, to give high-calorie, high vitamin and low-fat diet.
6.1.3 no special antidote, early to actively control the nervous system, liver and kidney damage and other symptomatic treatment.
6.2 Other treatments
6.2.1 mild poisoning can be restored after the original work.
6.2.2 severe poisoning cure after the recovery of the disease, as appropriate, do not contact poison work. Need to be able to work
Identification by 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 This standard applies to occupational acute carbon tetrachloride poisoning. Non-occupational acute carbon tetrachloride poisoning can also be used as a reference.
A.2 carbon tetrachloride heat can be decomposed into phosgene and other harmful gases, so in the case of carbon tetrachloride case (such as with tetrachloride
Carbonized fire extinguishing agent), the emergence of respiratory-based symptoms, should consider the possibility of phosgene poisoning.
A.3 contact the responders should generally observe 7-10 days, pay attention to the nervous system, liver and kidney damage early signs.
A.4 According to clinical practice and animal experimental data, the current domestic serum alanine aminotransferase (ALT), aspartic
Aminotransferase (AST) as the main diagnostic index of acute carbon tetrachloride poisoning liver damage. Other liver function
(TBA), serum glycocholic acid (CG), adenosine deaminase (ADA), prealbumin (PA)
Determination can also be used as auxiliary diagnosis.
A.5 short-term exposure to high doses of carbon tetrachloride and the death of the liver and kidney damage is not obvious.
A.6 Diagnostic criteria mentioned in the standard disorders, liver and kidney dysfunction, the diagnosis and treatment of the principles and care
Shall be carried out in accordance with the relevant standards (GBZ 76; GBZ 59 and GBZ 79).
A.7 treatment
Acetyl cysteine and glutathione have a certain effect. Severe cases appropriate to give blood purification therapy, can also be considered to make
With hyperbaric oxygen therapy.
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