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目的探讨职业性中毒性肝病诊断标准。方法比较分析职业性中毒性肝病诊断标准与内科肝病专业相关诊断标准的差异。结果急性肝病中,职业性中毒性肝病分轻、中、重3级,而肝病专业只有临床分型,无分级诊断,且两者判定病情轻重的指标相差甚远。慢性肝病中,两者分级形式上一致,但多处内涵上完全不同。职业性中毒性肝病分级诊断中缺少肝衰竭的诊断。结论建议职业性中毒性肝病诊断标准逐步与内科肝病专业相关诊断标准相一致,降低临床实施职业病诊断标准的难度。
Objective To explore the diagnostic criteria of occupational toxic liver disease. Methods The differences between the diagnostic criteria of occupational toxic liver disease and those related to medical liver disease were compared and analyzed. Results In acute liver disease, occupational toxic liver disease was classified as mild, moderate and severe. However, only the clinical classification of liver disease, no classification was diagnosed, and the indicators of the severity of the disease were far different. Chronic liver disease, both in the form of the same classification, but many completely different connotation. Diagnosis of lack of liver failure in the classification of occupational toxic liver disease. Conclusion It is suggested that the diagnostic criteria of occupational toxic liver disease should gradually be consistent with the relevant diagnostic criteria of medical liver disease, which will reduce the difficulty of clinical diagnostic criteria of occupational diseases.