According to the appraisal standard of workers' injury and occupational disease disability

(1 March 996 14 release1June 996 5438+001October1implementation)

B 1 grading series

A) level 1

1) extremely serious mental decline;

2) The face is severely disfigured, accompanied by one of the secondary disabilities listed in B2;

3) No light perception in both eyes or only light perception but inaccurate light positioning;

4) quadriplegia muscle strength is Grade 3 or Grade 2;

5) Severe dyskinesia (non-limb paralysis);

6) Severe systemic scar formation, loss of function of main joints of spine and limbs;

7) Loss or complete loss of function above elbow joint;

8) High loss of both lower limbs and high loss of one upper limb;

9) Scar deformity and functional loss of both lower limbs and upper limbs;

10) More than 90% small bowel resection;

1 1) orthotopic liver transplantation after hepatectomy;

12) uremia stage of renal insufficiency after bilateral nephrectomy or solitary nephrectomy, dialysis maintenance or renal transplantation.

B) level 2

1) severe mental retardation;

2) Persons who lack the ability to take care of themselves due to psychiatric symptoms;

3) One eye has or does not have light perception, and the corrected vision of the other eye is ≤ 0.02, or the visual field is ≤ 8% (or the radius is ≤ 5);

4) Complete bilateral maxillary defect;

5) Complete defect of bilateral mandible;

6) One side of the maxilla and the opposite side of the mandible are completely defective, accompanied by facial soft tissue defect > 30 square centimeters;

7) Difficulty in breathing at rest or with only slight activity;

8) Triplegia muscle strength level 3 or paraplegia hemiplegia muscle strength level 2;

9) bilateral anterior wall loss or complete loss of hands function;

10) loss of both lower limbs height;

1 1) scar deformity of both lower limbs, complete loss of function;

12) Stiffness of knees and ankles in non-functional position;

13) missing above the knee, unable to install prosthesis;

14) complete loss of knee and ankle function;

15) The ipsilateral upper and lower limbs are scarred and deformed, and their functions are completely lost;

16) Four or more joints of limbs (shoulder, hip, knee and elbow) completely lose their functions;

17) cardiac insufficiency grade Ⅲ;

18) unilateral pneumonectomy combined with thoracotomy, dyspnea grade 3;

19) severe lung function injury;

20) dyspnea level 4 or PaO2 (lower corner) 4. 1 ~ 8kpa or PaCO2 (lower corner) 7.9 ~ 6kpa.

2 1) pneumoconiosis stage ⅲ, moderate lung function injury or dyspnea grade 3;

22) after radiation pneumonia, pulmonary fibrosis has more than two lobes, with moderate lung function injury or dyspnea grade 3;

23) 3/4 hepatectomy with severe damage to routine liver function;

24) Portal hypertension triad or Budd-Chiari syndrome after liver trauma;

25) chronic severe toxic liver disease;

26) Severe liver function damage caused by biliary tract injury;

27) Total pancreatectomy;

28) After total pancreatectomy and pancreas transplantation;

29) acute leukemia;

30) Severe aplastic anemia (type I and type II);

3 1) people who rely on gastrostomy to eat after esophageal atresia or resection;

32) small bowel resection > 3/4, no reverse peristalsis anastomosis;

33) After partial nephrectomy, renal insufficiency is decompensated;

34) uremia stage of renal insufficiency.

three-level

1) Persons with dangerous or impulsive psychiatric symptoms;

2) Severe facial disfigurement;

3) One eye has or does not have light perception, and the other eye has corrected visual acuity ≤ 0.05 or visual field ≤ 16% (radius ≤10);

4) binocular corrected visual acuity < 0.05 or visual field ≤ 16% (or radius ≤10);

5) One eye is enucleated or orbital contents are enucleated, and the corrected vision of the other eye is < 0. 1 or the visual field is ≤ 24% (or the radius is ≤15);

6) Complete defect of ipsilateral maxilla and mandible;

7) complete maxillary defect with facial soft tissue defect > 30cm 2；;

8) complete mandibular defect with facial soft tissue defect > 30cm 2；;

9) Breathing depends entirely on tracheal intubation or artificial mouth;

10) Paraplegia muscle strength grade 3;

1 1) Hemiplegic muscle strength grade 3;

12) muscle strength of both hands is grade 3;

13) complete sensory or mixed aphasia;

14) One hand is missing and the other thumb is missing;

15) loss of thumb and forefinger or complete loss of function;

16) One elbow missing (beneficial side);

17) loss of handedness and dysfunction of the other hand;

18) The function of handedness is completely lost, and the function of the other hand is incomplete;

19) One joint of hip and knee is missing or nonfunctional, and the other joint is nonfunctional;

20) deformity of one hip and knee joint, complete loss of function;

2 1) Absence of wrist and ankle;

22) the other side of the upper and lower limbs is scarred and deformed, and its function is completely lost;

23) Ⅲ degree atrioventricular block;

24) After unilateral pneumonectomy and thoracic reconstruction;

25) after unilateral thoracic surgery (removal of more than 6 ribs);

26) pneumoconiosis stage ⅲ;

27) pneumoconiosis stage II with moderate lung function injury or dyspnea grade 3;

28) pneumoconiosis stage ⅰ and ⅱ with active pulmonary tuberculosis;

29) after radiation pneumonia, fibrosis of both lungs, moderate damage to lung function or dyspnea grade 3;

30) 2/3 hepatectomy with moderate liver function damage;

3 1) agranulocytosis;

32) Total gastrectomy;

33) 3/4 small bowel resection without reverse peristalsis anastomosis;

34) Unilateral nephrectomy, contralateral renal insufficiency in decompensated period;

35) Bilateral ureteral stricture and decompensated renal insufficiency;

36) Permanent ureterostomy;

37) Total cystectomy.

D) level 4

1) moderate mental retardation;

2) People who lack social skills due to psychotic symptoms;

3) Severe epilepsy;

4) The facial disfigurement is moderate, and the total scar area is over 70%;

5) One eye has or does not have light perception, and the other eye has corrected visual acuity < 0.2 or visual field ≤ 32% (or radius ≤ 20).

6) The corrected visual acuity of one eye is less than 0.05, and that of the other eye is less than or equal to 0.1;

7) binocular corrected visual acuity < 0. 1 or visual field ≤ 32% (or radius ≤ 20);

8) Binaural hearing loss ≥ 91dbhl;

9) closed teeth or only liquid food due to esophageal stenosis;

10) unilateral maxillary defect 1/2 with facial soft tissue defect > 20 cm2.

1 1) Mandibular defect length is more than 6 cm, and oral and facial soft tissue defect is more than 20 cm2；;

12) bilateral temporomandibular joints are stiff and can't open their mouths at all;

13) tongue defect > 2/3 of total tongue;

14) bilateral complete facial paralysis;

15) Severe damage to thyroid function;

16) the function of parathyroid gland is seriously damaged;

17) the muscle strength of single limb paralysis is grade 2;

18) the muscle strength of partial paralysis of both hands is grade 3;

19) the muscle strength of bipedal paralysis is grade 2;

20) moderate dyskinesia (non-paraplegia);

2 1) Both thumbs are completely missing or have no function;

22) the forearm of handedness is missing;

23) the handedness is completely lost, and the function of the other hand is partially lost;

24) One elbow joint is missing (unfavorable side), and artificial limbs cannot be installed;

25) One side is missing below the knee, so it is impossible to install a prosthesis, and the other side of the forefoot is missing;

26) One side above the knee is missing, and artificial limbs cannot be installed;

27) one ankle is missing, the other foot is deformed, and it is difficult to walk;

28) The following functions of the knee joint are missing or have no function;

29) Patients with anastomotic stenosis after esophageal reconstruction can only eat liquid food;

30) After valve replacement;

3 1) cardiac insufficiency grade Ⅱ;

32) Sick sinus syndrome (those who need to install pacemakers);

33) After unilateral pneumonectomy;

34) Moderate damage to lung function;

35) Partial thoracic surgery after lobectomy;

36) pneumoconiosis stage Ⅱ;

37) pneumoconiosis stage I with moderate lung function injury;

38) dyspnea level 3;

39) hepatectomy 2/3;

40) Hepatectomy (1/2) caused slight damage to liver function;

4 1) Moderate liver function damage caused by biliary tract injury;

42) subtotal pancreatectomy, insulin dependence;

43) Aplastic anemia;

44) chronic leukemia;

45) 3/4 small bowel resection and reverse peristalsis anastomosis;

46) 2/3 small bowel resection, including ileocecal resection;

47) Total resection of colon, rectum and anus and ileostomy;

48) Severe obstruction of anal defecation after trauma;

49) After renal repair, renal insufficiency is decompensated;

50) Decompensation of renal insufficiency after ureteral repair;

5 1) Permanent cystostomy;

52) Severe dysuria;

53) Neurogenic bladder with residual urine ≥ 50ml;

54) Urethral stricture needs to be expanded regularly;

55) bilateral adrenal defects;

56) Bilateral ovariectomy for infertile women;

57) The function of adrenal cortex decreased obviously;

58) The immune function decreased obviously.

E) level 5

1) complete motor aphasia;

2) Complete apraxia, agraphia, agraphia, agnosia, etc.

3) cerebrospinal fluid leaks and cannot be repaired;

4) Mild facial disfigurement;

5) One eye has or does not have light perception, and the other eye has corrected visual acuity < 0.3 or visual field ≤ 40% (or radius ≤ 25);

6) Corrected vision is less than 0.05 in one eye and less than 0.2 in the other eye;

7) The corrected visual acuity of one eye is less than 0. 1, and that of the other eye is equal to 0.1;

8) Binocular visual field ≤ 40% (or radius ≤ 25);

9) Unilateral enucleation;

10) Binaural hearing loss ≥ 81dbhl;

1 1) The nasal defect exceeds1/3;

12) Difficulty in breathing during general activities and light labor (larynx);

13) unilateral maxillary defect 1/4 with oral and facial soft tissue defect >/10 cm2；;

14) the length of mandibular defect is more than 4 cm, and the soft tissue defect of oral cavity and face is more than/10 cm2；;

15) upper and lower fouling defects >1/2;

16) cheek perforation defect > 20 cm2

17) tongue defect < 2/3, >13;

18) patients with scoliosis or kyphosis exceeding 30 degrees after spinal fracture, accompanied by severe radicular neuralgia or spinal canal stenosis;

19) quadriplegia muscle strength grade 4;

20) Single limb paralysis muscle strength level 3;

2 1) the muscle strength of partial paralysis of both hands is grade 2;

22) The dexterous muscle strength of paraplegia is Grade 3;

23) The muscle strength of bipedal paralysis is Grade 3;

24) Lack of forearm of non-professional hand;

25) the function of non-handedness is completely lost;

26) One of the shoulder, elbow and wrist joint completely loses its function;

27) One hand is missing the thumb, and the other hand is missing three fingers except the thumb;

28) One hand has no thumb function, and the other hand has no three-finger function except thumb;

29) the main function is completely lost;

30) Loss of both forefoot or scar deformity of both forefoot, complete loss of function;

3 1) the function of one hip joint (or one knee joint) is completely lost;

32) Mohs Ⅱ type Ⅱ atrioventricular block;

33) Sick sinus syndrome (patients without pacemakers);

34) After valve replacement;

35) Bilateral lobectomy;

36) Moderate damage to lung function;

37) dyspnea level 3 or PaO2 (lower angle) > 8 ~10.7 kpa;

38) Hepatectomy1/2;

39) chronic moderate toxic liver disease;

40) Splenectomy for young people;

4 1) pancreatectomy 2/3;

42) thrombocytopenia with bleeding tendency (≤4× 10 (upper corner)10/l);

43) gastrectomy 3/4;

44) 2/3 small intestine resection, keeping ileocecal part;

45) Partial resection of rectum, anus and colon, colostomy;

46) mild defecation disorder after anal trauma;

47) Unilateral nephrectomy, compensatory period of contralateral renal insufficiency;

48) Chronic toxic nephropathy;

49) Unilateral ureteral stricture, compensatory stage of renal insufficiency;

50) Partial cystectomy;

5 1) The urinary fistula cannot be repaired;

52) bilateral testicular and accessory testicular defects;

53) Bilateral vas deferens defect can not be repaired;

54) Penile defect;

55) Hysterectomy or partial hysterectomy for infertile women;

56) Bilateral oophorectomy for women of childbearing age;

57) Bilateral salpingectomy for infertile women;

58) Vaginal atresia;

59) Bilateral mastectomy for infertile women;

60) Reproductive function is seriously impaired.

F) level 6

1) mild mental retardation;

2) Mental illness symptoms affect professional labor ability;

3) moderate epilepsy;

4) Incomplete aphasia;

5) Complete facial paralysis on one side;

6) Severe foreign body pigmentation or depigmentation on the face;

7) After skin grafting, the scar area of the whole face or body reaches 60% ~ 69%;

8) Complete defect of scalp and eyebrows after avulsion;

9) Moderate damage of thyroid function;

10) Moderate damage of parathyroid function;

1 1) The corrected visual acuity of one eye is ≤ 0.05, and that of the other eye is ≤ 0.3;

12) The corrected visual acuity of one eye is ≤ 0. 1, and that of the other eye is equal to 0.2;

13) binocular corrected visual acuity ≤ 0.2 or visual field ≤ 48% (or radius ≤ 30);

14) Binaural hearing loss ≥ 71dbhl;

15) bilateral vestibular function loss, difficulty in walking with eyes open and inability to stand on both feet;

16) esophageal stenosis or semi-liquid food after esophagoplasty;

17) patients with anastomotic stenosis after esophageal reconstruction can only eat semi-liquid food;

18) bilateral temporomandibular joint stiffness, difficulty in opening mouth ⅱ;

19) facial soft tissue defect > 20 cm2 with salivary fistula;

20) nasal defect < 1/3, >1/5;

2 1) spinal fracture deformity less than 30 degrees with radicular neuralgia (abnormal neurophysiological examination);

22) Triplegia muscle strength level 4;

23) Non-handedness paraplegia muscle strength grade 2;

24) Bipedal partial paralysis muscle strength grade 2;

25) The muscle strength of one-legged paraplegia is Grade 2;

26) Simple complete loss of one thumb;

27) the function of one thumb is completely lost, and the function of two fingers of the other hand except the thumb is completely lost;

28) Loss of three fingers (including thumb) in one hand;

29) One hand loses most of its functions;

30) The other four fingers except the thumb are missing or have completely lost their functions;

3 1) is missing a thumb;

32) Loss below the ankle;

33) One ankle joint is deformed and its function is completely lost;

34) Angular deformity of lower limb fracture > 65438 05, and limb shortening exceeds 4 cm;

35) One forefoot is missing, and the other foot has only a big toe;

36) One forefoot is missing, and only the big toe is left on the other foot, and 2-5 toes are deformed and lose function;

37) Loss of function of one foot and partial loss of function of the other foot;

38) dysfunction of one hip joint or one knee joint;

39) coronary artery bypass grafting;

40) Lobectomy with segmental or wedge resection;

4 1) pneumoconiosis stage ⅰ, with mild lung function injury.

42) Pulmonary fibrosis after radiation pneumonia (3cm2 craniectomy, dura mater skin grafting;

5) Neck chin adhesion affects neck exercisers;

6) The total scar area is 50% ~ 59%;

7) One eye has or does not have light perception, and the other eye has corrected visual acuity ≥ 0.8;

8) The corrected visual acuity of one eye is ≤ 0.05, and that of the other eye is ≥ 0.6;

9) The corrected visual acuity of one eye is ≤ 0. 1, and that of the other eye is ≥ 0.4;

10) binocular corrected vision ≤ 0.3 or visual field ≤ 64% (or radius ≤ 40);

1 1) Binaural hearing loss ≥ 56 dbhl;

12) loss of throat protection, choking during eating is easy to cause aspiration;

13) Reflux esophagitis after esophageal reconstruction;

14) More than 2/3 of one ear or double auricle defect;

15) alveolar bone injury is more than 8 cm long and tooth loss is more than 10;

16) paraplegia or hemiplegia muscle strength grade 4;

17) muscle strength of both hands is grade 4;

18) the muscle strength of one-handed partial paralysis is grade 3;

19) the muscle strength of bipedal partial paralysis is grade 3;

20) One-legged paraplegia muscle strength level 3;

2 1) Mild dyskinesia (non-paraplegia);

22) narrow inheritance path after pelvic fracture (childless);

23) The pelvic fracture is seriously displaced with obvious symptoms;

24) The interphalangeal joint of thumb was cut off;

25) a thumb interphalangeal joint deformity, complete loss of function;

26) A hand other than the thumb; The proximal interphalangeal joints of the other 2 ~ 3 fingers (including the index finger) were severed;

27) The proximal interphalangeal joints of 2 ~ 3 fingers (including the index finger) lose function except the thumb in one hand;

28) dysfunction of one of the shoulder, elbow and wrist joints;

29) One foot is missing four toes except the big toe;

30) one foot has scar deformity except the big toe, and its function is lost;

3 1) is missing a front foot;

32) Joint function is good after artificial joint of large joint of limbs;

33) Traumatic synovitis of joints, repeated effusion for a long time;

34) Shortening of lower limbs < 3cm or > 2cm after injury;

35) Lobectomy;

36) Mild impairment of lung function;

37) Partial thoracotomy for localized empyema;

38) pneumoconiosis stage I, lung function is normal;

39) Pulmonary fibrosis after radiation pneumonia (hypertrophic scar of 8 square centimeters or more than 65438 0 square centimeters;

6) One or both eyelids have obvious defects or ectropion;

7) The total scar area is 40% ~ 49%;

8) One eye has a corrected vision of ≤ 0.2, and the other eye has a corrected vision of ≥ 0.5;

9) binocular corrected vision is equal to 0.4;

10) binocular visual field ≤ 80% (or radius ≤ 50);

1 1) ectropion of one or both eyelids or incomplete eyelid closure;

12) ptosis eyelid and pupil1/3;

13) symblepharon affects eye movement;

14) traumatic glaucoma;

15) binaural hearing loss ≥4 1dBHL or single ear ≥ 91dbhl;

16) Dyspnea (larynx) during manual labor;

17) Pronunciation and speech difficulties;

18) one ear or both ears defect > 1/3, < 2/3;

19) alveolar bone destruction is greater than or equal to 6 cm, and more than 8 teeth are missing;

20) Tongue defect is less than 1/3 tongue;

2 1) bilateral nasal atresia or nasopharyngeal atresia;

22) bilateral temporomandibular joint rigidity, and the difficulty in opening mouth is degree ⅱ;

23) Abnormal swallowing after esophagoplasty;

24) Mild damage of thyroid function;

25) Slightly impaired parathyroid function;

26) Vertebral compression fracture; The leading edge height decreases by more than1/2;

27) No neurological symptoms after spondylolisthesis;

28) One-limb paralysis or one-hand total muscle paralysis with muscle strength of Grade 4;

29) The muscle strength of partial muscle paralysis in both hands is Grade 4;

30) The muscle strength of bipedal paralysis is Grade 4;

3 1) the muscle strength of partial paraplegia in one foot is grade 3;

32) Except thumb and forefinger, the proximal interphalangeal joints of two fingers were severed;

33) Except thumb and forefinger, the proximal interphalangeal joints of the two fingers have no function;

34) One toe is missing and the other toe is missing;

35) One toe is deformed and loses its function, and the other foot is not deformed;

36) One foot is missing three toes except the big toe;

37) One foot is scarred with three toes except the big toe, and its function is completely lost;

38) Chronic osteomyelitis is caused by open fracture infection and occurs repeatedly;

39) After joint trauma or injury operation, there is residual traumatic arthritis without effusion;

40) cardiac insufficiency 1 level;

4 1) vascular substitutes to reconstruct blood vessels;

42) pneumonectomy;

43) Other occupational lung diseases with normal lung function;

44) partial hepatectomy;

45) After biliary tract repair;

46) partial splenectomy;

47) Partial pancreatectomy;

48) Abdominal wall defect is about10 cm;

49) Partial gastrectomy;

50) Partial resection of small intestine;

5 1) unilateral adrenal defect;

52) After ureter repair;

53) After urethral repair;

54) Excision of one testis and accessory testis;

55) One vas deferens defect cannot be repaired;

56) Unilateral oophorectomy for women of childbearing age;

57) Unilateral salpingectomy for women of childbearing age;

58) Unilateral mastectomy for fertile women;

59) sexual dysfunction;

60)ⅳ degree acute radiation skin injury and chronic radiation skin injury affect limb function after surgical treatment;

6 1) radiation-induced skin ulcers persist.

I) Grade 9

1) mild epilepsy;

2) skull defect ≥25 square centimeters, no dysfunction;

3) No dysfunction after lobectomy;

4) Eye branches of the fifth pair of cranial nerves and paralysis of the sixth pair of cranial nerves;

5) Scary baldness at the edge of hairline or baldness in other parts, who needs to wear a wig;

6) There are obvious deformities or hypertrophic scars > 3 cm 2 on the nose or cheeks;

7) Scar deformity of neck;

8) The total scar area is 30% ~ 39%;

9) After nasal reconstruction;

10) after eyelid ectropion and lip ectropion skin grafting;

1 1) The corrected visual acuity of one eye is ≥ 0.3, and that of the other eye is > 0.6;

12) binocular corrected vision is equal to 0.5;

13) stage Ⅲ (or severe) of occupational (radioactive) and traumatic cataract;

14) lacrimal apparatus injury, surgery can not improve lacrimal overflow;

15) binaural hearing loss ≥3 1dBHL or one ear loss ≥ 7 dbhl;

16) Pronunciation and speech disorders;

17) normal eaters after esophagectomy;

18) auricle defect in one ear or both ears > 1/5, <1/3;

19) chrome nasal disease has medical dependence;

20) alveolar bone injury is more than 4 cm long, and more than 4 teeth fall off;

2 1) Low back pain after two or more transverse process fractures;

22) After three-stage spinal internal fixation;

23) Vertebral height before compression <1/2;

24) The distal thumb segment 1/2 is missing;

25) One hand loses two index fingers;

26) Thumb joint dysfunction;

27) The toe of one foot is missing;

28) Except the big toe, the other two toes are missing;

29) Except the big toe, the other two toes are scarred and dysfunctional;

30) Fracture of common bone or tarsal bone affects the arch of foot;

3 1) patients with moderate or above depressed edema of lower limbs after one year of limb trauma;

32) After fracture internal fixation, there is no dysfunction;

33) Repair of heart and great vessels;

34) After the foreign body in the heart remains or is removed;

35) lung repair;

36) Bronchoplasty;

37) After the foreign body in the lung remains or is removed;

38) After mastoplasty;

39) After diaphragm repair;

40) Chronic occult toxic nephropathy;

4 1) After uterine repair;

42) Partial oophorectomy;

43) After vaginal repair or plasty.

J) Grade 10

1) skull defect 9 ~ 24 cm 2, no dysfunction;

2) incomplete facial paralysis on one side;

3) Mild pigmentation or depigmentation of facial foreign bodies;

4) The total scar area is less than 30%;

5) One eye corrected visual acuity ≤ 0.5, and the other eye corrected it.