某化工厂TNT作业工人职业性健康检查结果分析  

Analysis on the occupational physical examination for workers exposed to TNT in a chemical factory

作　　者：吴艳延[1] 杨叔乐[2] 

机构地区：[1]河南省职业病防治研究所,河南省郑州市450052 [2]南阳市疾病预防控制中心

出　　处：《中国厂矿医学》2007年第3期208-209,共2页Chinese Medicine of Factory and Mine

摘　　要：目的探讨三硝基甲苯(TNT)对作业工人健康的影响。方法以某化工厂TNT作业工人150人为接触组,某学校教师员工120人为对照组,按卫生部《职业性健康监护管理办法》规定的TNT作业检查项目,对2组人员进行职业性健康检查,比较2组的健康状况,同时测定生产环境中TNT浓度。结果接触组自觉症状中头昏、视力下降、视物模糊、刷牙出血、肝区疼痛5项的检出率明显高于对照组;体检项目中眼晶体混浊、肝大、血红蛋白降低、肝功能异常4项的检出率明显高于对照组。结论长期接触TNT引起的慢性中毒,主要表现为肝脏、眼晶体和血液方面的慢性损伤。Objectve To explore the effect of trinitrotoluene on workers＇ health. Methods Total 150 workers exposed to TNT in a chemical factory were selected as the case group and 120 teachers in a school as the control group. The occupational physical examinations for two groups were made according to examining items about TNT work provided for the Occupational Health Managing Method by Ministry of Health P. R. China, and the health conditions of the two groups were compared. Meanwhile,the concentrations of TNT in the factory environments were determined. Results The detective rotes of symptoms as dizziness, sight descend ,faintness for seeing, bleed to brush teeth and pain in liver area in the case group were significantly higher than that in the control greup;The detective rates of lens turbidness,liver angment,Hb descend and abnormity of liver function were also significantly higher than that in the control group. Conclusions The main clinical performances in chronic poison patients exposed to TNT for a long period were chronic harms for liver,the eye lens and bloods.

关 键 词：三硝基甲苯 作业工人 健康 分析 

分 类 号：R135.12[医药卫生—劳动卫生]