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对1例职业性慢性重度中毒性肝病的诊断经过进行了回顾。本例死亡患者有明确的肝脏毒物(二甲基甲酰胺)职业接触史7年,工作场所中二甲基甲酰胺浓度超过国家标准,临床表现符合慢性重度中毒性肝病,排除了其他原因肝脏损害,故诊断为职业性慢性重度中毒性肝病(二甲基甲酰胺)。本次诊断过程提示企业应重视职业卫生管理,做好一级和二级预防工作,减少二甲基甲酰胺接触机会,避免类似中毒事件的发生。
The diagnosis of a case of occupational chronic severe toxic liver disease was reviewed. In this case, patients with definite liver toxicity (dimethylformamide) had a history of 7 years of occupational exposure, dimethylformamide concentration in the workplace exceeded the national standard, and their clinical manifestations were consistent with chronic severe toxic liver disease, which excluded other causes of liver damage , So the diagnosis of occupational chronic severe toxic liver disease (dimethylformamide). The diagnosis process prompts enterprises should pay attention to occupational health management, and do a good job of two and prevention work to reduce exposure to dimethylformamide, to avoid the occurrence of similar poisoning.