Baldus S
Laryngol Rhinol Otol (Stuttg). 1981 Oct;60(10):505-11.
The possibility of further employment of workers in noise areas must be judged by the specific criteria of "Principle No. 20" of the Professional Associations. However, in many cases of already existing hearing damage it is possible to avoid a change of working place for the time being and to rate "No objection on health reasons under certain conditions". In cases of noise-induced, already existing hearing loss, a change of working place is generally not necessary if the worker uses ear protectors. There should also be no general objection in cases of pure disturbance of sound conduction. In combined hearing losses and pure labyrinthine deafness not created by noise, it must be supposed as a general rule that the worker is not fit for further working in noise areas. However, in special cases carefully analysed as to anamnesis and development, even a worker with such types of hearing loss might under special precautions be retained in the noise area.
必须依据专业协会“第20条原则”的具体标准来判断在噪声环境中工人进一步就业的可能性。然而,在许多已存在听力损伤的情况下,暂时避免工作地点变动并评定“在某些条件下基于健康原因无异议”是可行的。在因噪声导致已有听力损失的情况下,如果工人佩戴了听力保护器,通常无需变动工作地点。对于单纯的声音传导障碍情况,一般也不应有异议。在非噪声导致的混合性听力损失和单纯性迷路性耳聋的情况下,通常必须假定工人不适合继续在噪声环境中工作。然而,在经过仔细分析病史和病情发展的特殊情况下,即使是患有此类听力损失的工人,在采取特殊预防措施的情况下,也可能被留在噪声环境中。