疑似职业性爆震聋1例诊断分析

发布时间：2018-03-11 00:19

本文选题：爆震聋　切入点：诊断标准　出处：《中国职业医学》2015年06期 　论文类型：期刊论文

【摘要】：目的分析职业性爆震聋诊断实践中遇到的问题,为修订其职业病诊断标准提供参考依据。方法采用GBZ/T 238—2011《职业性爆震聋的诊断》(以下简称"GBZ/T 238—2011"),对某热电厂发电部1例疑似职业性爆震聋患者进行职业病诊断。结果该患者在巡检工作过程中,因其所持对讲机受区域电磁信号干扰突然发出刺耳啸叫声造成其左耳突发性感音性耳聋。根据GBZ/T 238—2011有关"本标准适用于爆破作业近距离暴露或工作场所中易燃易爆化学品、压力容器等发生爆炸导致的爆震聋的诊断及处理"的适用范围及相关诊断原则,该患者没有确切的职业性爆震接触史,因此不能诊断为职业性爆震聋。但其左耳耳聋确实是因工作遭受事故伤害所致,因此建议用人单位安排患者到当地社会保险行政部门申请进行工伤认定,以获得相应的工伤保险待遇。结论建议对GBZ/T 238—2011的适用范围进行相应修订,增加"其他各种原因瞬间产生短暂而强烈的冲击波或强脉冲噪声导致的爆震聋"的适用条款,以维护劳动者合法健康权益。
[Abstract]:Objective to analyze the problems encountered in the diagnosis of occupational explosive deafness. Methods using GBZ/T 238-2011 < diagnosis of occupational detonation deafness] (hereinafter referred to as "GBZ/T 238-2011"), a case of suspected occupational detonation deafness in a thermal power plant was diagnosed. During the course of the inspection, Because its walkie-talkie is suddenly screamed and screamed by regional electromagnetic signals, its left ear is suddenly sensorously deaf.According to GBZ/T 238-2011, "this standard is applicable to close exposure to blasting operations or flammable and explosive chemicals in the workplace," The scope of application and relevant diagnostic principles for the diagnosis and treatment of explosive deafness caused by explosion in pressure vessels, the patient has no definite history of occupational detonation contact, Therefore, it can not be diagnosed as occupational explosive deafness. But its left ear deafness is really caused by accident injury at work. Therefore, it is suggested that the employer should arrange patients to apply to the local social security administration department for the determination of work injury. Conclusion the applicable scope of GBZ/T 238-2011 should be revised accordingly, and the applicable clause of "sudden and intense shock wave or explosive deafness caused by strong impulse noise caused by other causes" should be added. In order to safeguard the legitimate health rights and interests of workers.
【作者单位】：河南省职业病防治研究院;
【基金】：国家科技支撑计划项目(2014BAI12B03) 国家自然科学基金(81372940)
【分类号】：R135.8

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