王莎莎, 李明, 蒋国钦. 1例职业性急性中度中毒性脑病的诊断讨论[J]. 环境与职业医学, 2017, 34(4): 358-361. DOI: 10.13213/j.cnki.jeom.2017.16746
引用本文: 王莎莎, 李明, 蒋国钦. 1例职业性急性中度中毒性脑病的诊断讨论[J]. 环境与职业医学, 2017, 34(4): 358-361. DOI: 10.13213/j.cnki.jeom.2017.16746
WANG Sha-sha, LI Ming, JIANG Guo-qin. Discussion on diagnosis of an occupational acute moderate toxic encephalopathy case[J]. Journal of Environmental and Occupational Medicine, 2017, 34(4): 358-361. DOI: 10.13213/j.cnki.jeom.2017.16746
Citation: WANG Sha-sha, LI Ming, JIANG Guo-qin. Discussion on diagnosis of an occupational acute moderate toxic encephalopathy case[J]. Journal of Environmental and Occupational Medicine, 2017, 34(4): 358-361. DOI: 10.13213/j.cnki.jeom.2017.16746

1例职业性急性中度中毒性脑病的诊断讨论

Discussion on diagnosis of an occupational acute moderate toxic encephalopathy case

  • 摘要: 目的 探讨职业性急性中毒性脑病的诊断,提高职业病诊断水平。

    方法 在无职业病危害因素检测及职业健康监护资料的情况下,3名职业病诊断医师参考劳动者临床表现、现场劳动卫生学调查结果及文献资料,作出诊断结论。

    结果 2名诊断医师诊断劳动者为职业性急性中度中毒性脑病,1名诊断医师排除职业性化学中毒,根据半数以上诊断医师的一致意见形成职业性急性中度中毒性脑病的诊断结论。

    结论 在无职业病危害因素检测及职业健康监护资料的前提下,职业病诊断医师结合国家职业病诊断相关标准、劳动者临床表现、现场劳动卫生学调查结果及文献资料可作出诊断结论。

     

    Abstract: Objective To discuss diagnosis of occupational acute toxic encephalopathy and improve the diagnosis level of occupational disease.

    Methods Being lack of occupational hazard detection and occupational health surveillance data, three certified occupational diseases diagnosis physicians made a conclusive diagnosis through analyzing the worker's clinical manifestations, on-site occupational hygiene investigation results, and relevant literatures.

    Results Two physicians diagnosed the worker with occupational acute moderate toxic encephalopathy, while the third one ruled out occupational chemical poisoning. According to the consensus of more than half of the diagnosis physicians, a conclusive diagnosis of occupational acute moderate toxic encephalopathy was determined.

    Conclusion In the absence of occupational hazard detection and occupational health surveillance data, a conclusive diagnosis could be made after combining relevant national occupational disease diagnosis standards, patient's clinical manifestations, occupational hygiene investigation results at workplace, and related literatures.

     

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