Occupational disease inspection project

The occupational disease examination program is an examination of the statutory occupational diseases of workers. Monitor the health of workers and prevent and treat occupational diseases. According to the work performed by the examinee, the examination is carried out in a targeted manner, including medical examination, ophthalmologic examination, blood routine, urine routine, neurology, liver function, lung function, and electroencephalogram. Basic Information Specialist classification: growth and development check classification: physical examination Applicable gender: whether men and women apply fasting: fasting Analysis results: Below normal: Normal value: no Above normal: negative: Negative is normal. Positive: A positive test indicates lead poisoning or other occupational diseases. Tips: Actively cooperate with the doctor during the examination. Normal value 1. Lead and its compound poisoning: no dizziness, headache, general weakness, memory loss, sleep disorders, and more dreams. No hanging wrist disease. 2. Mercury and its compound poisoning: no dizziness, headache, forgetfulness, more dreams, excessive sweating and other autonomic nervous system disorders. 3. Manganese and its compound poisoning: no lethargy, apathy, apathy, followed by insomnia, fatigue, dizziness, headache, distraction, memory loss, cast, libido, sweating, numbness of the limbs, pain, etc. phenomenon. 4. Carbon monoxide poisoning: no headache, dizziness, weakness, nausea, vomiting, palpitations and tinnitus, etc., the skin and mucous membranes are not pale or gray or bun. 5. Hydrogen sulfide: no headache, dizziness, fatigue, nausea, eye pain, dry throat, cough and other symptoms. Chest tightness, palpitations and other symptoms. 6. Organotin poisoning: no dizziness, headache, fatigue, accompanied by contact dermatitis and mild respiratory irritation. 7. Benzene poisoning: no dizziness, forgetfulness, insomnia. 8. Hexane poisoning: Symmetry in the distal end of the extremities is sensible without numbness and paresthesia. No movement disorders. 9. Silicosis: no cough, no phlegm. Normal position is negative. Clinical significance Abnormal result 1. Lead and its compound poisoning: dizziness, headache, general weakness, memory loss, sleep disorders, multiple dreams, etc., among which dizziness, general weakness, suggesting neurasthenia. Muscle weakness, muscle paralysis, sacral nerves of the fingers and wrist extensors of the wrist are drooping, is a multiple neuropathy. The blue-gray lead line at the edge of the gums, the metallic taste in the mouth, the loss of appetite, the swelling of the upper abdomen, discomfort, abdominal pain and constipation, the dry stool of the stool is abacus-like, which may be lead colic. Anemia, mostly low pigmented normal red blood cell type anemia. 2. Mercury and its compound poisoning: mild dizziness, headache, forgetfulness, multiple dreams, etc. Some cases may have autonomic nervous system disorders such as palpitations and excessive sweating. Easy to get excited, insomnia or lethargy, many nightmares, temperament depression, solitude and irritability, easy to be nervous and angry and unable to control. Intentional tremors The fingers, tongue, and eyes are clearly trembled, and the tremors of the fingers and hands are prominent. The speech is not flexible and the gait is unstable. Increased metal taste and saliva in the mouth can confirm acute mercury poisoning. 3. Manganese and its compounds poisoning: lethargy, apathy, apathy, followed by insomnia, fatigue, dizziness, headache, distraction, memory loss, cast, loss of libido, sweating, numbness of the limbs, pain, nighttime Gastrocnemius tendon and the like are mildly poisoned. In addition to the above symptoms and signs, there are two legs sinking, walking awkward and slow, easy to fall. The language is monotonous, stuttering, slow in behavior, difficult to complete fine movements, dull facial expression, incomplete eyeball aggregation, and increased muscle tension in the limbs. It is moderately poisoned. The limbs are stiff, the movements are slow and clumsy, the speech is ambiguous, the facial expression is reduced to a mask-like appearance, and the gait is rushed into a "sweeping gait." Finger curled up and deformed. Movement disorders, limb, tongue, and lip tremor are typical manifestations of manganese-toxic tremor paralysis. 4. Carbon monoxide poisoning: headache, dizziness, weakness, nausea, vomiting, palpitations and tinnitus are mild acute CO poisoning. The whole body is weak and weak. Although the consciousness is clear at the beginning of the poisoning, it has no self-rescue ability. Then, confusion, drowsiness, incontinence, and even coma, the skin and mucous membranes are cherry red, and the respiratory pulse is increased. Blood pressure, arrhythmia, convulsions, etc. were diagnosed as moderate. Cerebral edema is deep coma, high fever, combined with respiratory and circulatory failure, toxic myocardial damage, pulmonary edema, gastrointestinal bleeding, acute renal failure, etc., the skin and mucous membranes are pale or gray or blemishes, such as intracranial hypertension, cerebral edema, It can cause cerebral palsy and endanger life. Can be diagnosed as severe poisoning. 5. Hydrogen sulfide: headache, dizziness, fatigue, nausea, eye pain, dry throat, cough and other symptoms. Chest tightness, palpitations and other symptoms, blurred vision, conjunctival edema and corneal erosion, mild consciousness disturbance. Can be diagnosed as hydrogen sulfide poisoning. 6. Tin poisoning dizziness, headache, fatigue, accompanied by contact dermatitis and mild respiratory irritation, is chronic poisoning. 7. Benzene poisoning: dizziness, forgetfulness, insomnia can be chronic benzene poisoning. 8. hexane poisoning: symmetry felt numbness and paresthesia at the distal end of the extremities. Feeling diminished usually involves two hands and two feet, and the Achilles tendon reflex is weakened. There may be multiple peripheral neuropathy. Often accompanied by weakness, loss of appetite and weight loss. Usually, the distal extremity is weak, the muscles are sore, the upper limbs are less affected, and only the muscles of the hands are weak. Sensorimotor peripheral neuropathy is also mainly caused by dyskinesia. The pain and touch disappearance are often limited to the hands and feet, and the vibration and positional sensations are only slightly reduced. Can be diagnosed as a serious motor neurosis. 9. Silicosis: Cough is heavier, no sputum or a small amount of mucus. There are no chest pain or mild chest pain in the simple silicosis. If there is obvious chest pain, you should consider the possibility of intrapulmonary infection or tuberculosis. Pleural friction is often a sign of concurrent tuberculosis. Late silicosis, chest pain, and with tuberculosis, emphysema. Need to check the crowd: people who have long been engaged in high-risk occupations. Positive results may be diseases: occupational diseases, skin diseases caused by the pharmaceutical industry There are no special contraindications before the check. The inspection process requires a lot of inspections, and the inspectors should actively cooperate. Inspection process According to the work performed by the examinee, the examination is carried out in a targeted manner, including medical examination, ophthalmologic examination, blood routine, urine routine, neurology, liver function, lung function, and electroencephalogram. Not suitable for the crowd 1. Patients who have taken contraceptives, thyroid hormones, steroid hormones, etc., may affect the results of the examination and prohibit patients who have recently taken the drug history. 2, special diseases: patients with hematopoietic function to reduce disease, such as leukemia, various anemia, myelodysplastic syndrome, etc., unless the examination is essential, try to draw less blood. Adverse reactions and risks 1, subcutaneous hemorrhage: due to pressing time less than 5 minutes or blood draw technology is not enough, etc. can cause subcutaneous bleeding. 2, discomfort: the puncture site may appear pain, swelling, tenderness, subcutaneous ecchymosis visible to the naked eye. 3, dizzy or fainting: in the blood draw, due to emotional overstress, fear, reflex caused by vagus nerve excitement, blood pressure decreased, etc. caused by insufficient blood supply to the brain caused by fainting or dizziness. 4. Risk of infection: If you use an unclean needle, you may be at risk of infection.

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