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

作　　者：王莎莎[1] 李明[1] 蒋国钦[1] 

机构地区：[1]绍兴市疾病预防控制中心环境与职业卫生科,浙江绍兴312071

出　　处：《环境与职业医学》2017年第4期358-361,共4页Journal of Environmental and Occupational Medicine

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。[ 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 he made after combining relevant national occupational disease diagnosis standards, patient＇s clinical manifestations, occupational hygiene investigation resuhs at workplace, and related literatures.

关 键 词：职业中毒 印染企业 癫痫 中毒性脑病 

分 类 号：R135.14[医药卫生—劳动卫生]