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为了解某精密铸造企业一女工因三氯乙烯药疹样皮炎合并多脏器功能衰竭死亡的深层原因,对企业进行了职业卫生现场调查,并对临床救治过程进行了分析。企业防护管理措施未到位,缺少对劳动者三氯乙烯职业病防护知识培训教育,是引起本起事故的根本原因。患者皮肤接触三氯乙烯后,未予重视,未得到及时、正确、规范治疗,一定程度上贻误了临床救治的最佳时机。治疗时应适当调整糖皮质激素用量,用药应力求简单,避免交叉过敏;应加强皮肤及黏膜护理,及时处理各种并发症。
In order to understand the deep reason of the death of a woman worker in a precision casting enterprise who died of trichlorethylene eczema-like dermatitis combined with multiple organ failure, a field investigation of occupational health was conducted on the enterprise and the clinical treatment process was analyzed. Enterprise protection and management measures are not in place, the lack of workers training and knowledge of trichlorethylene occupational disease education is the root cause of the accident. Patients with skin contact with trichlorethylene, did not pay attention, not been timely, correct, standardized treatment, to a certain extent, delayed the best time for clinical treatment. Treatment should be properly adjusted glucocorticoid dosage, medication should be simple and avoid cross-allergy; skin and mucosal care should be strengthened, and timely treatment of various complications.