This standard specifies the diagnostic criteria and treatment principles for occupational acute toluene poisoning. This standard is applicable to the diagnosis of occupational acute toluene poisoning. The diagnosis of non-occupational acute toluene poisoning can also refer to this standard. GBZ 16-2002 Occupational Acute Toluene Poisoning Diagnosis Standard GBZ16-2002 Standard download decompression password: www.bzxz.net

ICS 13.100
National Occupational Health Standard of the People's Republic of China GBZ16-2002
Diagnostic Criteria of Occupational Acute Toluene Poisoning2002-04-08 Issued
Ministry of Health of the People's Republic of China
Implementation on 2002-06-01
Foreword
Article 6.1 of this standard is recommended, and the rest are mandatory. This standard is formulated in accordance with the "Law of the People's Republic of China on the Prevention and Control of Occupational Diseases". From the date of implementation of this standard, if there is any inconsistency between the original standard GB7802-1987 and this standard, this standard shall prevail. Toluene is a commonly used solvent or diluent. Acute toluene poisoning may be caused in occupational activities involving contact with toluene. In order to protect the health of the contactors and standardize the diagnosis of acute toluene poisoning, GB7802-1987 has been revised. This standard mainly highlights the anesthetic effect of the central nervous system caused by occupational acute toluene poisoning. And it is classified according to the degree of damage.
Appendix A of this standard is an informative appendix.
This standard is proposed and managed by the Ministry of Health of the People's Republic of China. This standard was drafted by the Central Hospital of Zhabei District, Shanghai and the Second Hospital of Shanxi Medical University, and the units participating in the drafting include Zhejiang Provincial Center for Disease Control and Prevention and Ningbo Municipal Health and Epidemic Prevention Station. This standard is interpreted by the Ministry of Health of the People's Republic of China. ..comDiagnostic criteria for occupational acute toluene poisoning
GBZ16-2002
Occupational acute toluene poisoning refers to a systemic disease with nervous system damage as the main manifestation caused by short-term exposure to a large amount of toluene in occupational activities, and can cause heart, kidney, liver and lung damage. 1 Scope
This standard specifies the diagnostic criteria and treatment principles for occupational acute toluene poisoning. This standard is applicable to the diagnosis of occupational acute toluene poisoning. The diagnosis of non-occupational acute toluene poisoning can also refer to this standard.
Normative references
The clauses in the following documents become the clauses of this standard through reference in this standard. For all dated references, all subsequent amendments (excluding errata) or revisions are not applicable to this standard. However, parties reaching an agreement based on this standard are encouraged to study whether the latest versions of these documents can be used. For all undated references, the latest versions are applicable to this standard.
GB/T16180
3 Diagnostic principles
Diagnostic criteria for occupational skin diseases (general principles) Diagnostic criteria for occupational chemical skin burns Diagnostic criteria for occupational chemical eye burns
Diagnostic criteria for occupational acute chemical poisoning (general principles) Diagnostic criteria for occupational acute chemical poisoning heart disease Evaluation of the degree of disability caused by work-related injuries and occupational diseases of employees Based on the occupational history of short-term exposure to a large amount of toluene, the clinical manifestations of neurological damage, combined with on-site labor hygiene investigation, comprehensive analysis, and exclusion of similar diseases caused by other causes, diagnosis can be made. 4 Contact reaction
Symptoms such as dizziness, headache, fatigue, facial flushing, conjunctival congestion, etc. can be fully recovered in a short time after the contact is removed. Diagnosis and classification standards
5.1 Mild poisoning
Symptoms such as dizziness, headache, fatigue, etc. are aggravated, and there are nausea, vomiting, chest tightness, choking, etc. and one of the following conditions: a) drowsiness;
b) confusion;
drowsiness.
5.2 Severe poisoning
..com6
On the basis of mild poisoning, there is one of the following conditions: a)
coma;
severe toxic liver disease:
severe toxic kidney disease;
severe toxic heart disease.
Treatment principles
Treatment principles
No specific treatment method. See the principle treatment of GBZ71. Glucuronic acid or sodium thiosulfate can be given to promote the excretion of toluene; if there is damage to the heart, kidney, liver, lung and other organs, the treatment principle shall be handled in accordance with GBZ74. 6.2 Other treatments
Patients with mild poisoning can resume their original work after recovery: patients with severe poisoning should be transferred from their original jobs and arranged to rest or work according to the recovery of their illness. If labor capacity assessment is required, it shall be handled in accordance with GB/TI6180. Instructions for the correct use of this standard
See Appendix A (Informative Appendix).
Appendix AwwW.bzxz.Net
(Informative Appendix)
Instructions for the correct use of this standard
A.1 This standard applies to acute toluene poisoning. Because acute toluene and xylene poisoning are very similar, this standard also applies to occupational acute xylene and acute poisoning caused by the mixed use of the two. A.2 Acute toluene poisoning is mainly manifested by central nervous system disorders. Therefore, the diagnostic classification is divided according to different degrees of consciousness disorders. Those with mild or moderate disturbance of consciousness are classified as mild poisoning; those who are in coma are classified as severe poisoning. A.3 Acute toluene poisoning may be accompanied by liver, kidney and heart damage. Its diagnosis and classification shall be carried out according to the relevant general standards. A.4 Acute toluene poisoning may be accompanied by varying degrees of skin, mucous membrane and eye burns. Its diagnosis and classification shall be carried out according to GBZ51 and GBZ54.
A.5 The determination of toluene, xylene in the air, exhaled breath, blood, and urinary hippuric acid and methylhippuric acid at the scene can better reflect the concentration of recent exposure to toluene and xylene. It is a good exposure indicator and can be used as a reference indicator for diagnosis and differential diagnosis. Sampling should be carried out in the early stage of poisoning.
A.6 There is no specific antidote for acute toluene poisoning. Glucuronic acid can be given to facilitate the excretion of poisons. The treatment principles refer to GBZ71.
Tip: This standard content only shows part of the intercepted content of the complete standard. If you need the complete standard, please go to the top to download the complete standard document for free.