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GBZ69-2011: Diagnosis of occupational chronic trinitrotoluene poisoning
Status: Valid GBZ69: Evolution and historical versions
| Standard ID | Contents [version] | USD | STEP2 | [PDF] delivered in | Standard Title (Description) | Status | PDF |
| GBZ 69-2011 | English | 189 |
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Diagnosis of occupational chronic trinitrotoluene poisoning
| Valid |
GBZ 69-2011
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| GBZ 69-2002 | English | 239 |
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Diagnostic Criteria of Occupational Chronic Trinitrotoluene Poisoning
| Obsolete |
GBZ 69-2002
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PDF similar to GBZ69-2011
Standard similar to GBZ69-2011 GBZ 20 GBZ 57 GBZ 49 GBZ 59 GBZ 68 GBZ 77 Basic data | Standard ID | GBZ 69-2011 (GBZ69-2011) | | Description (Translated English) | Diagnosis of occupational chronic trinitrotoluene poisoning | | Sector / Industry | National Standard | | Classification of Chinese Standard | C60 | | Classification of International Standard | 13.100 | | Word Count Estimation | 8,867 | | Date of Issue | 2011-04-13 | | Date of Implementation | 2011-10-01 | | Older Standard (superseded by this standard) | GBZ 69-2002 | | Quoted Standard | GB/T 16180; GBZ 59 | | Regulation (derived from) | ?Health-Communication (2011) 5 | | Issuing agency(ies) | Ministry of Health of the People's Republic of China | | Summary | This standard specifies the principles of diagnosis of occupational chronic trinitrotoluene poisoning, diagnostic classification and principles. This standard applies to the diagnosis of chronic exposure to trinitrotoluene caused by chronic occupational poisoning. Diagnosis and treatment of chronic non-occupational trinitrotoluene poisoning can also use and reference. | GBZ69-2002: Diagnostic Criteria of Occupational Chronic Trinitrotoluene 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.
Didagnostic Criteria of Occupational Chronic Trinitrotoluene Poisoning
, ICS 13.100
C60
GBZ
People's Republic of China National Occupational Health Standards
Diagnostic criteria for occupational chronic trinitrotoluene poisoning
Diagnostic Criteria of Occupational Chronic Trinitrotoluene 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 3231-1996 inconsistent with this standard, the standard shall prevail.
Trinitrotoluene is a chemical raw material, in the professional activities due to improper protection of long-term exposure can cause liver damage-based
Systemic disease, for the early diagnosis and treatment of trinitrotoluene poisoning to protect the health of contacts in the summary of the domestic Pro
Bed practical 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 is drafted by the Institute of Industrial Hygiene, Institute of Occupational Disease Prevention and Control of Shandong Province.
This standard is interpreted by the Ministry of Health of the People's Republic of China.
Diagnostic criteria for occupational chronic trinitrotoluene poisoning
Occupational chronic trinitrotoluene poisoning is due to long-term exposure to trinitrotoluene-induced liver damage caused by the main,
Both the characteristics of the crystal turbidity is a systemic disease.
1 Scope
This standard specifies the diagnostic criteria and principles of occupational chronic trinitrotoluene poisoning.
This standard applies to long-term exposure to trinitrotoluene-induced occupational chronic trinitrotoluene poisoning.
2 diagnostic principles
According to the history of close occupational exposure, the degree of skin contamination, the dynamic observation of liver damage and the results of laboratory tests,
The characteristics of the change of crystal eye, combined with the workshop air concentration monitoring and other labor hygiene data, a comprehensive analysis, and exclude
He causes the liver damage caused by the diagnosis.
3 observation object
Those who have one of the following manifestations may be listed as an object of observation.
3.1 appear dizziness, fatigue, loss of appetite, liver pain and other symptoms, liver and soft, tenderness, percussion pain is not obvious, liver function
The test is normal;
3.2 clinical symptoms are not obvious, liver is not large, abnormal liver function test;
3.3 liver, and has appeared trinitrotoluene cataract.
Diagnostic and grading standards
4.1 mild poisoning
Those who have one of the following manifestations can be diagnosed with mild poisoning.
4.1.1 appear fatigue, loss of appetite, nausea, tired of oil, liver pain and other symptoms, liver, soft or tough, tender or percussion,
Abnormal liver function test;
4.1.2 liver slowly increased, soft or tough, tenderness or percussion pain;
4.2 moderate poisoning
Mild poisoning symptoms aggravated, with one of the following manifestations, can be diagnosed as moderate poisoning.
4.2.1 liver, quality toughness, liver function test repeated abnormalities;
4.2.2 spleen enlargement.
4.3 severe poisoning
Those who have one of the following manifestations can be diagnosed with severe poisoning.
4.3.1 liver cirrhosis;
4.3.2 Aplastic anemia.
5 Principles of handling
5.1 Principles of treatment
5.1.1 According to the disease to develop treatment programs, prohibit drinking, disable or caution caused by liver damage drugs.
5.1.2 according to medical treatment of liver.
5.1.3 symptomatic and supportive therapy.
5.2 Other processing
5.2.1 Observe the object
General 3 to 6 months to review once, abnormal liver function should be promptly reviewed and do other checks, as soon as possible to confirm the diagnosis.
5.2.2 mildly moderate
Should be immediately transferred from the original job and rest treatment, after cure should be transferred from liver poisoning.
5.2.3 moderate poisoning
Should be hospitalized active treatment, after treatment should be transferred away from harmful toxic operations.
5.2.4 severe poisoning
Should be a long time to rest, after treatment was significantly improved in the health conditions permit, may be appropriate to arrange non-toxic light work.
6 Correct use of the description of this standard
See Appendix A (informative).
Appendix A
(Informative)
Correctly use the instructions in this standard
A.1 This standard applies only to the occupational chronic poisoning for the diagnosis of long-term exposure to trinitrotoluene workers and is not applicable to non-occupational
Occupational poisoning or acute poisoning.
A.2 In terms of occupational exposure history, in addition to the concentration of toxic substances in the operating environment, it is necessary to consider the situation of skin absorption, labor intensity
And environmental temperature and other factors, a comprehensive analysis of its dose - effect relationship.
A.3 This standard on the liver size, quality is not mandatory, but stressed the dynamic observation of the liver and the diagnosis of the disease
The comprehensive analysis of the data, but the liver size and quality changes in the comprehensive judgments are still important.
A.4 B-type ultrasound in this standard is not as an important diagnostic indicators, can be combined with clinical reference applications.
A.5 The liver function test in this standard refers to serum alanine aminotransferase (ALT), r-aminotransferase (r-GT), gallbladder
Acid (CG), transferrin (TG), prealbumin (PA) and so on. Clinical can be selected according to the specific conditions of 2 to 3 for
should.
A.6 Under current production conditions, trinitrotoluene is very rare for blood system damage, so this standard does not change the blood system
As a diagnostic indicator, such as in a particularly harsh working environment does encounter long-term close contact with anemia or aplastic
Anemia, should be based on the dynamic observation of the disease and clinical manifestations of the characteristics of other anemia to do the differential diagnosis of the etiology of
Combined with the analysis of the disease can be diagnosed in line with the disease, due to the disease can be classified as severe poisoning.
A.7 in the differential diagnosis with viral hepatitis, do not only serological markers of viral hepatitis positive, that is, the exclusion of toxic liver
Disease, to take into account the possibility of cross-effects of two kinds of causes, clinical history should be combined with the history of the whole, a comprehensive analysis
in conclusion.
A.8 biological monitoring can reflect the level of exposure, if necessary, biological monitoring, help to diagnose and differential diagnosis.
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