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尘肺是我国法定职业病中发病人数最多的一种,并且每年仍有一定数量的新病例发生,因此,尘肺的诊断工作至关重要。尘肺作为一种职业病,其诊断的正确与否,关系重大,如果发生误诊,不仅会给病人带来沉重的精神负担,还会给国家和企业带来不必要的经济和劳动力损失。我们根据从事尘肺诊断工作十余年的经验,认为目前尘肺诊断工作尚存在一定的问题与不足,特提出讨论如下。一、在诊断标准的理解上不一致尘肺诊断已有一九八六年颁布实施的《尘肺X线诊断标准及处理原则》(GB5906-86),但在实际诊断工作中,执行标准的尺度宽严不一,特别是在0~+与Ⅰ期尘肺的诊断上,有时存在较大的分歧,在各地区之间交
Pneumoconiosis is one of the most frequently reported statutory occupational diseases in our country, and there are still a certain number of new cases occurring each year. Therefore, the diagnosis of pneumoconiosis is of vital importance. Pneumoconiosis, as an occupational disease, whose diagnosis is correct or not, is of great importance. If misdiagnosis occurs, it will not only bring heavy mental burden to patients, but also bring unnecessary economic and labor losses to the country and enterprises. Based on more than ten years of experience in pneumoconiosis diagnostics, we think that there are still some problems and deficiencies in the diagnosis of pneumoconiosis. First, inconsistent understanding of the diagnostic criteria Pneumoconiosis diagnosis has been promulgated in 1986, “pneumoconiosis X-ray diagnostic criteria and principles” (GB5906-86), but in the actual diagnosis, the implementation of the standard width and strict Different, especially in the diagnosis of 0 ~ + and stage I pneumoconiosis, and sometimes there is a big difference between the regions to pay