http://www.esafety.cn/blog/wll/66030/index.html

职业性急性磷化氢中毒

作者[孙锡云] 发表于[2010-12-1 22:18:00]
职业性急性磷化氢中毒
 
    急性磷化氢中毒是吸入较高浓度磷化氢气体后引起的以神经系统、呼吸系统损害为主的全身性疾病。

    1 范围

    本标准规定了职业性急性磷化氢中毒的诊断标准和处理原则。

    本标准适用于职业活动中磷化氢中毒的诊断及处理。

    2 规范性引用文件

    下列文件中的条款通过本标准的引用而成为本标准的条款。凡是注日期的引用文件,其随后所有的修改单(不包括勘误的内容)或修订版均不适用于本标准,然而,鼓励根据本标准达成协议的各方研究是否可使用这些文件的最新版本。凡是不注日期的引用文件,其最新版本适用于本标准。

     GB/T16180   职工工伤与职业病致残程度鉴定

     GBZ59       职业性中毒性肝病诊断标准

     GBZ73       职业性急性化学物中毒性呼吸系统疾病诊断标准

     GBZ74       职业性急性化学物中毒心脏病诊断标准

    3 诊断原则

    根据接触较高浓度磷化氢的职业史,发病较快,结合临床症状、体征及其它必要的临床检查,参考现场劳动卫生学调查结果,综合分析,并排除其它有类似症状的疾病,方可诊断。

    4 观察对象

   有头疼、乏力、恶心、咳嗽等神经系统及呼吸系统症状,但症状较少,程度较轻,脱离接触后多在24小时内消失。

    5 诊断及分级标准

    5.1 轻度中毒

   具有下列情况之一者:

   a)轻度意识障碍;

   b)轻度呼吸困难、肺部听到少量干、湿啰音,符合化学性支气管炎或支气管周围炎;

    5.2 重度中毒

    除轻度中毒表现外,还有下列情况之一,或中毒开始即表现为下列情况之一者:

    a)昏迷、抽搐;

    b)肺水肿;

    c)休克;

    d)明显心肌损害;

    e)明显肝、肾损害。

    6 处理原则

    6.1 治疗原则

    6.1.1 立即脱离现场,保持安静。

    6.1.2 对观察对象应观察24小时,根据情况处理。中毒患者应卧床休息,至少观察24-48小时,以早期发现病情变化。

    6.1.3 治疗以对症治疗及支持治疗为主。要早期、积极地处理昏迷、肺水肿、心肌或肝、肾损害等情况。其治疗原则和护理与内科相同。

    6.2 其他处理

    6.2.1 中毒患者一般可治愈。轻度中毒者多在1-2周内恢复。治愈后可恢复原工作。重度中毒患者经积极治疗后也可完全恢复。

    6.2.2 复查少数患者经抢救脱险、急性期过后仍有明显症状,可根据检查结果酌情处理。

  • 标签:职业性 磷化氢 中毒 
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    Re:在漫画中识别身边的违章

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    Re:在漫画中识别身边的违章

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    Re:在漫画中识别身边的违章

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    Re:在漫画中识别身边的违章

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    gdsvz(游客)http://www.jxedt.com/wen/kaoshi/3170323758899069010.html
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    原创

    作者[原创(游客)] 发表于[2016-9-30 14:50:34]
    原创(游客)http://rywydx.lofter.com/post/1e6a68e3_c80d0b9 http://njryw168.lofter.com/post/1e6983e5_c7f1aa5 http://rywydx.lofter.com/post/1e6a68e3_c811213 http://njryw168.lofter.com/post/1e6983e5_c7ee2ea http://njryw168.lofter.com/post/1e6983e5_c7e8ac5 http://rywywj.lofter.com/post/1e6a80c3_c824661 http://rywydx.lofter.com/post/1e6a68e3_c80dc3f http://njryw168.lofter.com/post/1e6983e5_c7e8a2d http://rywydx.lofter.com/post/1e6a68e3_c80dc5e http://rywydx.lofter.com/post/1e6a68e3_c80f765

    原创

    作者[原创(游客)] 发表于[2016-9-28 20:10:11]
    原创(游客)http://bjseoywj.lofter.com/post/1e66bf3e_c71069d http://seogsywj.lofter.com/post/1e634756_c6dede7 http://seogsywj.lofter.com/post/1e634756_c6df30b http://bjseoywj.lofter.com/post/1e66bf3e_c70f6b8 http://seogsywj.lofter.com/post/1e634756_c6de211 http://bjseoywj.lofter.com/post/1e66bf3e_c711577 http://ywjseo.lofter.com/post/1e634752_c650f64 http://ywjseo.lofter.com/post/1e634752_c64fd57 http://seogsywj.lofter.com/post/1e634756_c6df2a2 http://seogsywj.lofter.com/post/1e634756_c6de241

    原创

    作者[原创(游客)] 发表于[2016-9-6 20:33:16]
    原创(游客)http://njryw2016.lofter.com/post/1e59a72f_c385b35 http://njryw2016.lofter.com/post/1e59a72f_c385b34 http://njryw2016.lofter.com/post/1e59a72f_c385b33 http://njryw2016.lofter.com/post/1e59a72f_c385b32 http://njryw2016.lofter.com/post/1e59a72f_c385b31 http://njryw2016.lofter.com/post/1e59a72f_c385b30 http://njryw2016.lofter.com/post/1e59a72f_c385b2f http://njryw2016.lofter.com/post/1e59a72f_c385b2e http://njryw2016.lofter.com/post/1e59a72f_c385b2d http://njryw2016.lofter.com/post/1e59a72f_c385b2c
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