职业性重症中暑与急性心肌梗塞鉴别诊断一例分析  

A Case of Differential Diagnosis on Severe Occupational Heat Stroke and Acute Myocardial Infarction

作　　者：姜彩霞[1] 杨章萍[1] 陈建春[1] 

机构地区：[1]杭州市疾病预防控制中心环境所,浙江310021

出　　处：《环境与职业医学》2014年第9期732-733,共2页Journal of Environmental and Occupational Medicine

摘　　要：分析一例职业性重症中暑的起因、经过、职业病诊断和鉴定过程并提出防治措施。依据患者临床表现、实验室检查、作业场所职业卫生调查结果及职业病诊断标准进行诊断。劳动者接触高温导致职业性重症中暑热衰竭,并伴有心肌损害。应采取综合性的职业病防治措施防止高温中暑的发生,在职业性中暑职业病诊断过程中应注意鉴别诊断。This paper focused on cause, occurrence, occupational diagnosis, and appraisal of a patient with severe occupational heat illness and provided measures for control and prevention. Clinical manifestation, laboratory test, occupational health survey in the workplace, and the diagnosis criteria of occupational diseases were considered in diagnosis. The worker was exposed to high temperature in the workplace, which resulted in occupational heat stroke and myocardial infarction. The case suggested that comprehensive control and prevention strategies should be considered in cases of occupational heat illness. In addition, differential diagnosis in the appraisal of occupational heat illness should also be a concern.

关 键 词：中暑 心肌梗塞 诊断 

分 类 号：R131[医药卫生—劳动卫生]