职业性慢性正己烷中毒的经济负担

Analysis of occupational chronic n-hexane poisoning economic burden

目的 评价分析职业性慢性正己烷中毒患者的经济负担.方法 收集2009年深圳市某厂34例职业性慢性正己烷中毒患者的治疗费、赔偿费、伙食费、工资支出、职业病诊断鉴定费、陪护费、交通探视费、误工天数等.结果 34例职业性慢性正己烷中毒患者中,轻度4人,中度19人,重度11人.轻中重中毒患者的住院天数分别为（204.0±3.7）、（226.6±78.3）、（417.6±94.1）d,平均（285.8±96.3）d.轻、中、重度正己烷中毒患者的住院治疗费分别为治疗费62 525.8、69 409.7、128 155.6元,赔偿金20 000.0、20 052.6、30 290.9元,工资23 460.0、26 062.6、47 644.0元,伙食费17 566.5、19 499.8、36 230.1元,合计131 100.3、143 441.5、257 729.1元,平均178 965.0元.轻、中、重中毒患者的误工天数分别为（176.8±3.2）、（196.4±67.9）、（361.4±81.6）d,平均（247.7±83.5）d.轻中重中毒患者治疗康复过程中因误工损失产值分别为1 809 724.8、2 010 350.4、3 699 290.4元.结论 职业性慢性正己烷中毒引起的经济负担严重,做好预防工作对经济发展保障工人身体健康非常重要.

Objective To study the economic burden caused by occupational chronic n-hexane poisoning.Methods Information about the cost of treatment,compensation,board,wage,diagnosis,escorts,transportation and the days off work were collected in a 34 cases of occupational chronic n-hexane poisoning accident to estimate the economic burden.Results There were 4 mild,19 moderate,11 severe in the 34 cases and the total cost was 6 084 809 yuan.The hospitalization days was respectively （204.0±3.7） d,（226.6±78.3） d and （417.6±94.1） d,averaging （285.8±96.3） d.The treatment cost was respectively 62 525.8,69 409.7 and 128 155.6 yuan.The compensation was respectively 20 000.0,20 052.6 and 30 290.9 yuan.The wage was respectively 23 460.0,26 062.6 and 47 644.0 yuan.The board was respectively 17 566.5,19 499.8 and 36 230.1 yuan.The days of work was respectively （176.8±3.2） d,（196.4±67.9） d and （361.4±81.6） d,averaging （247.7 ±83.5） d.The lost productivity was respectively 1 809 724.8,2 010 350.4 and 3 699 290.4 yuan.Conclusion The economic burden of occupational chronic n-hexane poisoning was so heavy that prevention measures should be strengthened.