一起急性三氯甲烷中毒事故调查

Investigation of a Case of Acute Trichloromethane Poisoning

目的通过对肇庆市某塑胶五金电子厂发生的一起急性职业性三氯甲烷中毒事故的调查分析,提出预防措施,杜绝类似事故的发生。方法对该起中毒事故开展职业卫生学调查,调查生产工艺及事故经过,结合临床表现、实验室检测结果等分析事故原因。结果3名患者均为钟表装配车间工人,生产中所使用的黏合剂三氯甲烷含量为90.60%。患者均有明显中毒症状和肝功能指标异常。省级职防机构确诊职业性三氯甲烷中毒和职业性中毒性肝病,经护肝、对症治疗后痊愈。结论当前个体企业的职业卫生管理薄弱,劳动者的职业卫生防护意识较差,应引起有关监督部门的重视。

[ Objective ] Through the investigation and analysis of a case of acute occupational trichloromethane poisoning, to put forward preventive measures and prevent the occurrence of similar incidents. [ Methods] Occupational hygienic investigation was carried out on the production process in this poisoning incident; analysis was made on the cause of the accident according to the clinical manifestation and the laboratory detection result. [ Results ] M1 the three poisoned patients were from the watch assembling workshop; the concentration of bond trichloromethane used in the production process was 90.6% ; all the patients had obvious poisoning symptoms and abnormal liver function; the province-level occupational disease prevention institution diagnosed the occupational trichloromethane poisoning and occupational toxic liver disease, through liver protection and treatment, the patients were cured. [ Conclusion] The occupational health management in the private enterprises is weak; the laborers lack of occupational health protection consciousness, which should be put into emphasis by the supervision departments.