What are the occupational taboos in high temperature and noise environment, such as diabetes, hypertension and other occupational taboos in high temperature and noise environment?

According to gbz 188-500Hz, the contents of occupational contraindications and occupational health examination in noise and high temperature environment are as follows: 7. 1 noise 7. 1 pre-job occupational health examination 7. 1./occupational contraindications of target diseases: (/kloc-0 /kloc-pure tone air conduction hearing threshold at any frequency of 0/000 Hz and 2000Hz > 25 dbhl) (2) moderate or above conductive deafness (3) binaural high frequency (3000Hz, 4000Hz, 6000Hz) average hearing threshold ≥ 40 dB (4) stage Ⅱ and Ⅲ hypertension (5) organic heart disease 7./kl. The key point of symptom inquiry is whether we should also ask about the history of injury, explosion and medication (such as streptomycin, gentamicin, kanamycin, neomycin, tobramycin, vancomycin, polymyxin, nitrogen mustard, carbofuran, cisplatin, uric acid, salicylic acid, arsenic-containing agents, antimalarial drugs, etc.). ), poisoning (such as alcohol, tobacco, carbon monoxide poisoning) and infections that may affect hearing. History of malaria, measles, rubella, chickenpox, syphilis and other diseases), genetic history (such as whether there is a history of deafness in immediate family members), etc. (2) physical examination. A. routine examination of internal medicine should pay attention to the examination of thyroid and cardiovascular system. B. Otological examination is mainly the examination of rough hearing, external ear and tympanic membrane, such as whether the conversation is affected by hearing reasons, whether the bilateral auricles are deformed, and whether the external auditory canal is deformed, narrowed, locked or blocked. Whether the tympanic membrane has perforation, hypertrophy, calcification, compression, adhesion, exudation, etc. (3) Laboratory and other examinations A. Required items: pure tone audiometry, electrocardiogram, blood routine, urine routine and serum ALT B. Selected items: acoustic immittance, otoacoustic emission 7. 1.2 Occupational health examination during employment 7. 1 target disease (1) Occupational occupational hearing loss (see gbz49). (2) Physical examination is the same as before taking up the post. (3) Laboratory and other examinations. A. Pure tone hearing threshold test and electrocardiogram. B. Blood routine, urine routine and acoustic impedance (tympanogram, 500Hz, 1000Hz ipsilateral and contralateral stapedial reflex threshold), otoacoustic emission (distortion product otoacoustic emission, Or transient evoked otoacoustic emissions) 7. 1.2.3 health examination cycle 1 year 7.65438+ 1.60 pre-job occupational health examination 7.3. 1. 1 occupational contraindications of target diseases: (1. Large area skin scar 7.3. 1.2 Examination contents (1) Symptoms inquiry focuses on symptoms of cardiovascular system, urinary system and nervous system, such as palpitation, chest tightness, nausea, vomiting, abdominal pain, acid reflux, heartburn, epigastric pain, polydipsia, hematuria, headache and dizziness. (2) medical examination. Key cardiovascular system examination (III) Laboratory and other examinations A. Required items: blood routine, urine routine, serum ALT, electrocardiogram and blood sugar B. Selected items (those with hyperthyroidism history or abnormal examination): serum free thyroxine (FT4) and serum free triiodothyronine (FT3) and thyrotropin (TSH) 7.3.2 Occupational health examination during on-the-job 7. Occupational contraindications of target diseases: Pre-job 7.3.2.2 examination contents and pre-job 7.3.2.3 health examination cycle 6557.3.3 Emergency occupational health examination 7.3.3. 1 People who are in occupational contact with the subjects (including those who participate in accident rescue) may suffer from heatstroke due to accidental or accidental exposure to high temperature. The purpose of 7.3.3.2 examination is to find out the patients with occupational heatstroke in time (see GBZ4 1). And put forward improvement and control measures: 7.3.3.3 site accident investigation, environmental meteorological conditions investigation and testing, causes of abnormal high temperature, and make it clear that 7.3.3.4 inspection content is symptom inquiry of people who have contact with and need emergency health examination (1), asking about corresponding symptoms of high temperature operation and heatstroke, such as dizziness, chest tightness, palpitation, excessive sweating, high fever, oliguria or anuria, and observing mental state. (2) Physical examination A. Routine examination of internal medicine focuses on skin temperature, blood pressure and pulse B. Routine examination of nervous system (3) Patients with suspicious or heatstroke found in treatment and laboratory examination should be given first aid immediately, and those with severe cases should be sent to hospital for treatment in time. The necessary laboratory tests can be checked at any time according to the condition at that time.