Give examples of diagnostic principles and precautions for occupational diseases?

1. Occupational history, it is necessary to inquire about the occupational history in detail, including the types of occupational hazards exposed, production processes, types of work, length of service, contact methods or operation characteristics, exposure time, environmental conditions and protective measures, etc., and have a preliminary concept of exposure to occupational hazards through the inquiry of occupational history.

2. On-site labor health investigation is mainly to investigate the occupational hazard factors existing in the working environment and the ways in which they may cause harm to the contacts.

3. Medical history, the history of the present illness should be asked in detail, including the onset of the disease, nature, degree, development and process from the beginning of the disease to the present, the relationship between the occurrence and development of symptoms and the work, and whether there is a work-related injury or productive accident after work, and the past history, personal history, marital history, family history, etc. should be asked in accordance with the requirements of the medical history of internal medicine hospitalization, and record smoking, alcohol and other hobbies.

Fourth, the physical examination, according to the routine requirements of the system of physical examination, and according to the patient's exposure to the occupational factors, the possible harm to the body and the main symptoms provided in the medical history focus on the examination, for positive signs, must be combined with the medical history laboratory examination results for comprehensive analysis and judgment, can correctly evaluate its clinical significance and the relationship with the main diagnosis of the disease.

The diagnosis of occupational diseases is based on the patient's occupational history, exposure to occupational hazards, clinical diagnosis and auxiliary examination results.

The judgment of occupational disease is based on the fact that the dose of the harmful factor to which it is exposed, whether past or present, is sufficient to cause the occurrence of the disease, that the disease should be closely related to the occupational harmful factors in the workplace, and that the role played by occupational and non-occupational diseases must be distinguished, and that the potential companionship of the former must be greater than that of the latter.

The conditions that must be met for the recognition of occupational diseases are as follows:

Have medical and health technicians who are suitable for the diagnosis of occupational diseases; Have instruments and equipment suitable for the diagnosis of occupational diseases; Medical and health institutions that have a sound quality management system for the diagnosis of occupational diseases shall not refuse the request of workers to diagnose occupational diseases.

The diagnosis of occupational diseases shall be undertaken by the medical and health institutions that have obtained the "Medical Institution Practice License"; The administrative department of health shall strengthen the standardized management of the diagnosis of occupational diseases, and the specific management measures shall be formulated by the administrative department of health.

To be recognized as suffering from an occupational disease, an employee must meet four conditions: the subject suffering from the occupational disease must be a worker hired by the employing unit; The occupational disease must arise in the course of the occupational activity; The cause of occupational disease must be caused by exposure to occupational disease hazards such as dust and hazardous substances; The disease must be an occupational disease listed in the classification and catalogue of occupational diseases published by the state.

Measures to prevent occupational diseases:

1. Strengthen occupational health management.

Establish and improve occupational health records, conduct a comprehensive assessment of occupational disease hazards, formulate scientific and reasonable occupational disease prevention and control programs, and establish an occupational health monitoring mechanism and occupational disease reporting system, so as to detect and deal with occupational disease problems in a timely manner.

2. Strengthen the construction of facilities for the protection of occupational diseases.

Toxic and harmful substances need to be strictly controlled, and effective measures should be taken to reduce the harm of occupational disease hazards to employees. At the same time, establish a variety of safety protection facilities, such as ventilation equipment, protective walls, personal protective equipment, etc., to provide a safe working environment for employees.

3. Strengthen the popularization and training of occupational health knowledge.

By carrying out occupational health knowledge publicity and education activities and organizing training courses, we can improve employees' occupational health awareness and self-protection ability, enhance employees' mastery of occupational disease prevention and knowledge, and reduce the incidence of occupational diseases.

Fourth, improve the security system, and strengthen the assistance and protection of occupational disease patients.

Establish a sound medical system, advanced technology, and complete facilities, and strengthen the care and psychological counseling of patients with occupational diseases. At the same time, we should provide reasonable social security for patients with occupational diseases, so that they can receive timely assistance and help to reduce the burden on them and their families.

What are the principles of diagnosis of occupational diseases?

A:(1) The diagnosis of occupational diseases should be scientific, just, open, fair, timely and convenient;

2) Carefully review the relevant information to ensure the authenticity and reliability of the information;

3) Do a good job in the differential diagnosis of occupational diseases;

4) Diagnosis is carried out in strict accordance with the national occupational disease diagnosis standards;

5) If there is no evidence to deny the inevitable connection between the occupational disease hazard factors and the patient's clinical manifestations, the occupational disease should be diagnosed after excluding other factors.

6) If there is a difference of opinion on the diagnosis of occupational diseases, it should be recorded in detail and truthfully in the "Diagnostic Process Record Form", and signed by the occupational disease diagnosticians participating in the diagnosis. Occupational disease diagnosis is based on the opinion of the majority.

7) The occupational disease diagnosis certificate shall be signed by the occupational disease diagnostician who participated in the diagnosis, and if there is a difference of opinion on the diagnosis of occupational disease, the occupational disease diagnosis certificate shall also be signed;

8) The diagnosis of occupational diseases must be attended by more than three (including three practitioners) with occupational disease diagnosis qualifications to be effective;

9) The certificate of diagnosis of occupational diseases shall be reviewed by the unit and stamped with the diagnosis seal before it can take effect.

10) If there is no definite history of exposure to occupational disease hazards or no abnormalities are found in the health examination, the occupational disease diagnosis team may not accept the application;

11) For patients suspected of occupational diseases, the diagnosis of Guess Hu should be carried out by the occupational disease diagnosis team for collective diagnosis.

At present, there are more than 100 kinds of occupational diseases in nine categories. The diagnosis of occupational diseases is a policy and scientific work, which involves labor insurance treatment and labor ability appraisal, which is related to the vital interests of the country and patients

1) According to the diagnostic standards for occupational diseases promulgated by the state and relevant regulations, we strive to prevent misdiagnosis and missed diagnosis.

2) Comprehensive analysis, collective diagnosis, and diagnosis by the diagnostic team.

3) The diagnosis is mainly based on three aspects of information: detailed employment history, health investigation data of the production environment, clinical manifestations and laboratory or special examinations.

Occupational diseases refer to diseases caused by exposure to dust, radioactive substances, other toxic and harmful substances and other factors in the occupational activities of enterprises, institutions, individual economic organizations and other employers.

The diagnosis of occupational diseases is based on four main points:

1. Detailed occupational contact history.

2. Labor health investigation of production environment;

3. The clinical manifestations are in line with the characteristics of occupational diseases;

4. Frozen shoulder caused by sitting in front of the computer for a long time for laboratory examination or special examination is not an occupational disease in the legal sense, it is recommended that the patient usually do more exercise, sit in front of the computer for half an hour and get up to move, do not sit for too long, occupational disease refers to the disease caused by the exposure of employees of enterprises, institutions, individual economic organizations and other employers in occupational activities due to exposure to dust, radioactive substances, other toxic and harmful substances and other factors.