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目的了解通化市某区煤炭行业井下工人患煤工尘肺情况,为今后做好职业病防治工作提供对策。方法严格按照GBZ 70-2009《尘肺病诊断标准》,对煤炭行业接触粉尘作业人员进行职业健康检查;检查结果经通化市疾病预防控制中心尘肺病诊断组集体阅片诊断。结果 3年共计诊断煤工尘肺85人,其中Ⅰ期44人、Ⅱ期27人、Ⅲ期14人。煤工尘肺合并肺结核8人,占煤工尘肺的比例为9.41%。患病工龄主要集中在10～19年,患病年龄集中在40～49岁,煤工尘肺期别越高,肺功能损伤越严重。结论应加强对煤炭行业的执法监督,严格按照《职业健康监护管理办法》有关规定,对接尘工人进行岗前、岗间及离岗时的职业健康检查,发现病人及时进行诊断。
Objective To understand the coal miners’ pneumoconiosis situation in the coal industry in a certain area of Tonghua City and to provide a solution to the prevention and control of occupational diseases in the future. Methods In accordance with GBZ 70-2009 Diagnostic Criteria for Pneumoconiosis, occupational health examination was conducted for workers exposed to dust in the coal industry. The examination results were confirmed by collective reading of the pneumoconiosis diagnostic group of Tonghua Municipal Center for Disease Control and Prevention. Results A total of 85 coal worker pneumoconiosis cases were diagnosed in 3 years, including 44 in stage Ⅰ, 27 in stage Ⅱ and 14 in stage Ⅲ. Coal workers pneumoconiosis with tuberculosis 8, accounting for coal workers pneumoconiosis ratio of 9.41%. The length of service mainly concentrated in 10 to 19 years, the prevalence of age concentrated in the 40 to 49 years old, the higher the coal miners pneumoconiosis, the more serious damage to lung function. Conclusion Law enforcement supervision over the coal industry should be strengthened and occupational health examination should be conducted in accordance with the relevant provisions of the “Measures for the Administration of Occupational Health Monitoring and Management” before and after leaving the post.