1例职业性慢性轻度苯中毒诊断分析  

Analysis on Diagnosis of A Patient With Occupational Chronic Mild Benzene Poisoning

作　　者：岳倩 尹明礼 余涛 王平 关陶 

机构地区：[1]凉山州彝族自治疾病预防控制中心,四川西昌615000

出　　处：《职业卫生与病伤》2015年第4期243-245,共3页Occupational Health and Damage

摘　　要：目的探讨职业性慢性苯中毒的诊断注意事项。方法对1例职业病慢性轻度苯中毒患者的诊断过程进行回顾。结果该患者有头痛、头昏、失眠、多梦、记忆力减退、疲乏无力、刷牙出血等临床症状,连续3个月复查7次血常规,其中血小板计数5次低于60×109/L,职业接触苯、甲苯达15年6个月,排除其他原因,被诊断为职业性慢性轻度苯中毒(血小板减少症)。结论职业性苯中毒致病因素复杂、潜伏期长,诊断较为困难,诊断机构应严格把关,加强自身业务素质及能力建设,提高诊断准确率。Objective To analyze the diagnosis of occupational chronic benzene poisoning. Methods A case ot occupational chronic benzene poisoning was retrospectively analyzed. Results This patient exhibited symptoms of headache, dizziness, insomnia, dreaminess, hypomnesis, lassitude and bleeding when brush teeth. Seven time of blood routine examination were conducted in 3 continuous months and the blood platelet count was less than 60 x 109/L for five times. The patients had a history of exposure to benzene and methylbenzene for 15 years and a half, and eventually diagnosed as occupational chronic mild benzene poisoning （thrombocytope- nia）. Conclusion Occupational benzene poisoning pathogenic factors are complicated, the diagnosis is rela- tively difficult and the diagnostic accuracy should be enhanced by self- construction in the diagnostic organi- zations.

关 键 词：职业性慢性苯中毒 职业病 诊断 

分 类 号：R135.12[医药卫生—劳动卫生]