某农药厂2008年职业健康检查结果分析

Analysis on Occupational Health Examination Results in A Pesticide Factory in 2008

目的了解某农药厂职业健康状况。方法依据《职业健康监护技术规范》[1],对该企业从事有毒有害作业的工人进行针对性的职业健康检查,依据《尘肺病诊断标准》(GBZ70-2002)[2]、《职业性苯中毒诊断标准》(GBZ68-2002)[3],诊断有无尘肺、苯中毒;依据《工作场所空气中有毒物质监测的采样规范》(GBZ159)等法规进行现场职业危害因素检测。结果粉尘、苯系物、氯化氢、氢氧化钠等作业岗位有害因素共17个监测点51项次检测全部合格;职业健康检查受检率100%,受检人员异常检出率为:高血压6.4%、血常规10.4%、肝功能4.3%、B超14.7%、心电图3.1%、胸片11.9%、肺功能2.4%;结论血常规和胸片检查的异常检出率分别达10.4%和11.9%,表明该企业存在较明显的毒物和粉尘的职业健康损害,原因有待进一步调查研究。

[Objective]To understand the occupational health status in a pesticide factory.[Methods]According to ＂ Technical Specifications of Occupational Health Surveillance ＂,the workers who engaged in toxic and hazardous operations received targeted occupational health examination;diagnosis of pneumoconiosis and benzene poisoning was based on ＂Diagnostic criteria of pneumoconiosis＂ （GBZ 70-2002） and ＂ Diagnostic Criteria of Occupational Benzene Poisoning ＂（GBZ 68-2002）;on-site occupational detection of risk factors was based on＂ Sampling Norms of Toxic Substances in Workplace Air Monitoring,＂（GBZ 159） and other regulations.[Results] Harmful factors tests such as dust,benzene,hydrogen chloride,sodium hydroxide in 17 monitoring points of 51 tests were all qualified;occupational health examination rate was 100%,detection rates of abnormalities among workers were 6.4% of hypertension,10.4%of routine blood test,4.3% of liver function,14.7% of type-B ultrasonic,3.1% of ECG,11.9% of chest film,2.4% of pulmonary function.[Conclusion]Blood and abnormal chest X-ray detection rates are 10.4% and 11.9%,indicating the existence of visible toxic and dust occupational health damage in this enterprise,pending further investigation.