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目的了解职业性苯所致白血病的流行特点,分析其诊断工作中存在的问题并提出解决办法,为职业病防治机构有针对性地开展职业性苯所致白血病诊断和防治工作提供依据。方法对75例白血病病例的职业病诊断资料进行分析。结果 52例诊断为职业性苯所致白血病(职业病组),23例不能诊断为职业性苯所致白血病(非职业病组)。职业病组以急性白血病(71.15%)多见,98.08%无苯中毒病史,发病年龄<40岁者占88.46%,累计接触苯工龄、潜隐期在5年以内者分别占69.23%、65.38%。苯作业工种分布多样,并且所接触的含苯有机溶剂复杂。结论职业性苯所致白血病应选用《职业性肿瘤诊断标准》GBZ94,合理运用《职业病防治法》第四十二条进行诊断。
Objective To understand the epidemiological characteristics of occupational benzene-induced leukemia, analyze the existing problems in diagnosis and propose solutions, and provide a basis for occupational disease prevention and treatment organizations to carry out the diagnosis and prevention of occupational benzene-induced leukemia in a targeted manner. Methods 75 cases of leukemia cases of occupational disease diagnosis data analysis. Results 52 cases were diagnosed as occupational benzene-induced leukemia (occupational disease group) and 23 cases were not diagnosed as occupational benzene-induced leukemia (non-occupational disease group). Occupational disease patients with acute leukemia (71.15%) more common, 98.08% non-benzene poisoning history, the incidence of age <40 years accounted for 88.46%, cumulative exposure to benzene age, latent period of less than 5 years accounted for 69.23%, 65.38%. Benzene is distributed in a wide variety of work-types and is complicated by benzene-containing organic solvents. Conclusion Occupational benzene-induced leukemia should be used “Occupational tumor diagnostic criteria” GBZ94, the rational use of “Occupational Disease Prevention Act,” Article 42 for diagnosis.