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GBZ83-2013: Diagnosis of occupational arsenic poisoning
Status: Valid GBZ83: Evolution and historical versions
| Standard ID | Contents [version] | USD | STEP2 | [PDF] delivered in | Standard Title (Description) | Status | PDF |
| GBZ 83-2013 | English | 169 |
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Diagnosis of occupational arsenic poisoning
| Valid |
GBZ 83-2013
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| GBZ 83-2002 | English | 239 |
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Diagnostic Criteria of Occupational Chronic Arsenic Poisoning
| Obsolete |
GBZ 83-2002
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PDF similar to GBZ83-2013
Standard similar to GBZ83-2013 GBZ 20 GBZ 57 GBZ 49 GBZ 89 GBZ 82 GBZ 77 Basic data | Standard ID | GBZ 83-2013 (GBZ83-2013) | | Description (Translated English) | Diagnosis of occupational arsenic poisoning | | Sector / Industry | National Standard | | Classification of Chinese Standard | C60 | | Classification of International Standard | 13.100 | | Word Count Estimation | 7,753 | | Older Standard (superseded by this standard) | GBZ 83-2002 | | Quoted Standard | GB/T 16180; GBZ 18; GBZ 59; GBZ 73; GBZ 76; GBZ 94; GBZ 247; WS/T 28 | | Regulation (derived from) | Health-Communication (2013) 1 | | Issuing agency(ies) | Ministry of Health of the People's Republic of China | | Summary | This standard specifies the principles of occupational diagnosis of arsenic poisoning, diagnosis and treatment principles. This standard applies to occupational exposure to arsenic and its compounds god caused poisoning (not including acute arsine poisoni | GBZ83-2002: Diagnostic Criteria of Occupational Chronic Arsenic 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.
(Professional current criteria for chronic arsenic poisoning)
CS 13.100
C60
GBZ
People's Republic of China National Occupational Health Standards
Diagnostic criteria for occupational chronic arsenic poisoning
Diagnostic Criteria of Occupational Chronic Arsenic 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.
Arsenic is an ancient poison, involving a wide range of contacts, arsenic on the body of multiple organ systems have serious damage, because
This, arsenic poisoning is a common and more serious occupational hazards. To protect the health of workers, control arsenic occupational hazards, need to
Development of arsenic poisoning diagnostic criteria.
This standard is based on occupational epidemiological investigation of chronic arsenic poisoning, summed up the clinical incidence of poisoning and treatment of the
Test, and refer to foreign occupational arsenic poisoning information, the first to develop.
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 Hunan Institute of Occupational Disease Prevention and Control of Labor Hygiene.
This standard is interpreted by the Ministry of Health of the People's Republic of China.
Diagnostic criteria for occupational chronic arsenic poisoning
Occupational chronic arsenic poisoning refers to the occupational activity in the longer period of exposure to arsenic caused by skin, liver damage
Main manifestations of systemic disease.
1 Scope
This standard specifies the diagnostic criteria and principles of occupational chronic arsenic poisoning.
This standard applies to the long-term exposure to arsenic caused by occupational chronic arsenic poisoning diagnosis and treatment. Non-professional slow
The diagnosis and treatment of arsenic poisoning can be carried out according to this standard, but not for arsenic poisoning.
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.
Standard for Diagnostic Standard of Occupational Chronic Chloropropene
GBZ 18 Diagnosis of occupational dermatosis (general)
Diagnostic criteria for occupational toxic liver disease
Identification of Occupational Injury and Occupational Disease Disability in Staff and Workers GB/T 16180
3 diagnostic principles
According to the longer period of close contact with arsenic occupational history, the emergence of dermatitis, skin hyperkeratosis, skin pigmentation and
Digestive system, the nervous system-based clinical manifestations, reference arsenic and other laboratory tests, comprehensive analysis, excluding other
Due to cause a similar disease; can be diagnosed.
4 observation object
With headache, dizziness, insomnia, dreams, fatigue, indigestion, weight loss, liver discomfort and other symptoms; arsenic over
Normal reference value.
5 Diagnostic and grading standards
5.1 Chronic mild poisoning
In addition to the above performance, one of the following circumstances.
a) excessive keratosis of the skin, especially in the palmoplantar part of the verrucous hyperkeratosis;
b) the trunk and limbs appear diffuse black or brown pigmentation and pigmentation spots;
c) mild liver injury;
d) mild peripheral neuropathy.
5.2 chronic severe poisoning
On the basis of chronic mild poisoning, one of the following manifestations.
a) cirrhosis;
b) peripheral neuropathy with limb movement disorders or limb paralysis;
c) skin cancer.
6 Principles of handling
6.1 Principles of treatment
From the exposure of arsenic, oral dimercapto succinic acid or with sodium dimercaptopropane or dimercaptan disodium arsenic treatment, supplemented by selenium,
Vitamin C and other symptomatic supportive care.
6.2 Other treatments
6.2.1 Observe objects
Generally six months or one year review once, but still can work in the original.
6.2.2 Chronic poisoning
Where the diagnosis of chronic arsenic poisoning, shall not continue to engage in arsenic operations; severe poisoning should avoid chemical contact; need
To identify the ability to work, according to GB/T 16180 treatment.
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 is applicable to the diagnosis of occupational chronic arsenic poisoning caused by long-term exposure to arsenic in occupational activities. This standard does not
Applicable to arsenic poisoning.
A.2 arsenic damage to the skin arsenic can cause contact dermatitis. Chronic contact can cause excessive skin hyperkeratosis and pigmentation
/ And loss of change, such as limbs and/or trunk dry skin, scaling, keratinization, palmoplantar skin hyperkeratosis can form
Raised verrucous hyperplasia; trunk and limbs appear diffuse black or brown pigmentation; pigmentation and pigment loss phase
Between the formation of scattered black and white spots; serious in the excessive keratosis on the basis of infection, necrosis, the formation of prolonged unhealed
Ulcers, and can occur in skin cancer. These skin changes are characteristic of chronic arsenic poisoning, so this standard lists it as a diagnosis
One of the indicators.
A.3 arsenic with liver toxicity, severe can lead to cirrhosis. The diagnosis and classification of liver damage can be performed in accordance with GBZ 59.
Laboratory examination of liver damage is also based on the specific circumstances of the selection of items in Appendix D.
A.4 mild chronic arsenic poisoning caused by peripheral nerve damage. See GBZ 76.
A.5 Arsenic has a reference value for the diagnosis of chronic arsenic poisoning, with a normal reference value of 5 μg/g. Determination of molybdenum blue ratio
Color method and silver diethyldithiocarbamate colorimetric method (DDC-Ag).
A.6 in the arsenic poisoning caused by liver damage and viral hepatitis for differential diagnosis, can not simply with viral hepatitis
Clear signs of positive, that is, the exclusion of arsenic poisoning, to take into account the possibility of cross-effects of two causes, the clinical should be combined with occupational history
And arsenic poisoning characteristic symptoms and signs, arsenic arsenic content, comprehensive analysis, to help identify, the specific can see GBZ 59
Appendix C.
A.7 Treatment of chronic arsenic poisoning
Can be oral dicarboxylic acid or conventional sodium dimercaptopropane sodium and dimercaptan disodium arsenic treatment, supplemented by supportive therapy.
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