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目的提出职业性铊中毒诊断标准的主要修订内容。方法通过对铊中毒临床特点的简要复习,结合标准对修订内容进行讨论。结果职业性铊中毒诊断标准中急性中毒的分级由轻度、重度2级细化为轻度、中度和重度3级;提出尿铊的正常参考值和职业接触生物限值,引入急性铊中毒临床诊断参考值;将神经肌电图作为急性、慢性铊中毒的诊断起点条件之一,不再列为病情分级条款;根据国家药品管理的有关规定,将原标准正文中涉及药物改在附录中说明。结论根据上述结果对职业性铊中毒诊断及分级标准、有关辅助检查及处理原则的部分内容进行了修订。
Objective To propose the main revision of the diagnostic criteria for occupational thallium poisoning. Methods A brief review of the clinical features of thallium poisoning, combined with the standard revision of the content to be discussed. Results The classification of acute poisoning in occupational thallium poisoning was refined from mild and severe grade 2 to mild, moderate and severe grade 3. The normal reference values of thallium and occupational exposure limits were proposed, and acute thallium poisoning Clinical diagnostic reference value; the neuroelectrogram as acute, chronic thallium poisoning diagnosis starting point is no longer classified as disease grading terms; according to the relevant provisions of the national drug administration, the original standard body of the drug involved in the appendix Description. Conclusion Based on the above results, the contents of the diagnostic and classification criteria of occupational thallium poisoning, some auxiliary inspection and treatment principles were revised.