What are the standard grades of industrial injury appraisal in Nanjing? According to Article 25 of the Regulations on Work-related Injury Insurance, after receiving the application for labor ability appraisal, the municipal labor ability appraisal committee with districts shall randomly select three or five related experts from the medical and health expert database established by it to form an expert group, and the expert group shall put forward the appraisal opinions. According to the expert group's appraisal opinions, the municipal labor ability appraisal committee with districts makes a conclusion on the labor ability appraisal of workers with work-related injuries; When necessary, a qualified medical institution may be entrusted to assist in the relevant diagnosis. The municipal labor ability appraisal committee with districts shall make a conclusion of labor ability appraisal within 60 days from the date of receiving the application for labor ability appraisal. When necessary, the time limit for making the conclusion of labor ability appraisal may be extended by 30 days. The conclusion of labor ability appraisal shall be delivered to the units and individuals applying for appraisal in time. 1, one of the following 12 cases under the first-class industrial injury and occupational disease identification standard can be identified as a first-class industrial injury or occupational disease; (1) extremely serious mental decline; (2) Severe facial disfigurement accompanied by one of the secondary disabilities in B2 table; (3) There is no light perception in both eyes or only light perception, but the light positioning is not accurate; (4) The muscle strength of quadriplegia is Grade 3 or Grade 2; (5) Severe dyskinesia (non-limb paralysis); (6) The whole body is severely scarred, and the main joints of the spine and limbs lose their functions; (7) Loss or complete loss of function above the elbow joint; (8) Loss of both lower limb heights and loss of one upper limb height; (9) Scar deformity and functional loss of both lower limbs and one upper limb; (10) The resection rate of small intestine was more than 90%. (1 1) orthotopic liver transplantation after hepatectomy; (12) After bilateral nephrectomy or solitary nephrectomy, the uremic stage of renal insufficiency was maintained by dialysis or kidney transplantation. 2. Under any of the following 34 circumstances, it can be identified as a secondary work-related injury or occupational disease. (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 other eye's vision is corrected by 3/4, without reverse peristalsis anastomosis; (33) After partial nephrectomy, renal insufficiency is decompensated; (34) uremia stage of renal insufficiency. 3. Under any of the following 37 circumstances, it can be identified as a class III work-related injury or occupational disease. (1) Persons with dangerous or impulsive psychotic symptoms; (2) severe facial disfigurement; (3) One eye has or does not have light perception, and the corrected vision of the other eye is 30 square centimeters; (8) Complete mandibular defect with facial soft tissue defect >: 30 cm2; (9) Breathing depends entirely on tracheal intubation or stoma; (10) Paraplegia muscle strength grade 3; (1 1) Hemiplegic muscle strength is grade 3; (12) The muscle strength of both hands is grade 3; (13) Complete sensory or mixed aphasia; (14) Loss of one hand and thumb of the other; (15) Loss of thumb and forefinger or complete loss of function; (16) One elbow joint is missing (favorable 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) Hips and knees were deformed, and their functions were completely lost. (20) deformity of one hip and knee joint, complete loss of function; (2 1) Loss of wrist and ankle; (22) Scar deformity of the upper and lower limbs on the other side and complete loss of function; (23) Ⅲ atrioventricular block; (24) After unilateral pneumonectomy and thoracic reconstruction; (25) After unilateral thoracotomy (removal of more than 6 ribs); (26) pneumoconiosis stage ⅲ; (27) Pneumoconiosis stage II with moderate lung function injury or dyspnea grade III; (28) pneumoconiosis stage ⅰ and ⅱ, complicated with active pulmonary tuberculosis; (29) After radiation pneumonia, Shuang Ye's pulmonary fibrosis, moderate damage to pulmonary function or dyspnea were 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. 4. One of the following 58 situations under the four-level industrial injury and occupational disease identification standard can be identified as a four-level industrial injury or occupational disease. (1) Moderate mental retardation; (2) people who lack social skills due to mental symptoms; (3) severe epilepsy; (4) Moderate facial disfigurement with total scar area >; 70%; (5) The corrected visual acuity of the other eye with or without light perception is 20 square centimeters; (1 1) Mandibular defect with oral and facial soft tissue defect >: 20cm2; (12) Bilateral mandibular joints were stiff and could not open their mouths at all; (13) tongue defect >: 2/3 of the whole tongue; (14) Bilateral complete facial paralysis; (15) The thyroid function was seriously damaged; (16) The function of parathyroid gland was seriously damaged; (17) The muscle strength of single limb paralysis is Grade 2; (18) The muscle strength of partial paraplegia in both hands was grade 3; (19) The muscle strength of bipedal paraplegia is Grade 2; (20) moderate dyskinesia (non-paraplegia); (2 1) Both thumbs are completely missing or have no function; (22) the forearm of the 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 joint, so it is impossible to install a prosthesis, and the other side is missing the forefoot; (26) One knee joint is missing and cannot be prosthesis; (27) One ankle is missing, the other foot is deformed, and it is difficult to walk; (28) Loss or no function below the knee; (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 thoracotomy after lobectomy; (36) pneumoconiosis stage Ⅱ; (37) Pneumoconiosis stage I with moderate lung function injury; (38) Dyspnea level 3; (39) 2/3 hepatectomy; (40) Hepatectomy12, liver function was slightly damaged; (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 partial ileocecal resection; (47) Total resection of colon, rectum and anus, ileostomy; (48) Severe obstruction of anal defecation after trauma; (49) After renal repair, renal insufficiency is decompensated; (50) Decompensation of renal insufficiency after ureteral fixation; (5 1) Permanent cystostomy; (52) Severe dysuria; (53) Neurogenic bladder with residual urine >; = 50mL(54) Urethral stricture needs regular dilatation; (55) Bilateral adrenal defects; (56) Bilateral ovariectomy for infertile women; (57) The function of adrenal cortex decreased obviously; (58) The immune function decreased obviously. 5. One of the following 60 situations under the five-level industrial injury and occupational disease identification standard can be identified as a five-level industrial injury or occupational disease. (1) Complete motor aphasia; (2) Complete apraxia, agraphia, agraphia, agnosia, etc. (3) The 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 vision = 81dbhl; Nose defect above (1 1) 1/3; (12) Difficulty in breathing during general activities and light labor (throat); (13) unilateral maxillary defect 1/4 with oral and facial soft tissue defect >: 10 cm2; (14) Mandibular defects are more than 4cm long, accompanied by oral and facial soft tissue defects >: 10 cm2; (15) upper lip or lower lip defect >:1/2; (16) cheek perforation defect >: 20cm; (17) Tongue defect 1/3'( 18) 30 cases of spinal fracture (upper curvature or kyphosis, with severe radicular neuralgia or spinal canal stenosis; (19) quadriplegia muscle strength grade 2; (20) Paralysis muscle strength grade 3; (2 1) The muscle strength of partial paraplegia in both hands is Grade 2; (22) The muscle strength of handedness paraplegia is Grade 3; (23) The muscle strength of bipedal paralysis is Grade 3; (24) forearm loss; (25) The function of non-handedness is completely lost; (26) One of the shoulder, elbow and wrist joints 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 function except thumb; (29) the main function is completely lost; (30) Loss of both forefoot or deformity of both forefoot scars, complete loss of function; (3 1) One hip joint (or one knee joint) completely lost its function; (32) Mohs Ⅱ Ⅲ atrioventricular block; (33) Sick sinus syndrome (no pacemaker); (34) After valve replacement; (35) Bilateral lobectomy; (36) Moderate damage to lung function; (37) dyspnea grade 3 or pao 278 ~10.7 kpa; (38) Hepatectomy1/2; (39) Chronic moderately toxic liver disease; (40) Splenectomy for young people; (4 1) pancreatectomy 2/3; (42) Thrombocytopenia with bleeding tendency (= 71dbhl; (15) Bilateral vestibular dysfunction, 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 joints were stiff, and it was difficult to open the mouth in the third degree. (19) The facial soft tissue defect was 20 square centimeters with salivary fistula; (20) nasal defect1/5; (2 1) Spinal fracture with residual less than 30 (deformity with radicular neuralgia (abnormal electrophysiological examination); (22) Triplegia muscle strength grade 4; (23) The muscle strength of non-handedness paraplegia is Grade 2; (24) The muscle strength of bipedal partial paralysis is Grade 2; (25) Paralysis muscle strength 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) most of the functions of one hand are lost; (30) Loss or complete loss of function of the other four fingers except the thumb; (3 1) is missing a thumb; (32) Loss below one ankle; (33) An ankle joint is deformed and its function is completely lost; (34) Angular deformity of lower limb fracture > 15 (gorgeous limb shortened by more than 4cm; (35) One forefoot is missing, and only the big toe remains on the other foot; (36) One forefoot is missing, the other toe is deformed, and it loses its function except the big toe; (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 partial or wedge resection; (4 1) Pneumoconiosis stage ⅰ, with slight lung function injury; (42) Pulmonary fibrosis after radiation pneumonia (3 cm2, with dura mater skin grafting; (5) Neck chin adhesion affects neck exercisers; (6) The total scar area accounts for 50% ~ 59%; (7) One eye has or does not have light perception, and the other eye has corrected vision >; =0.8; (8) Corrected vision at a glance = 0.4; (10) binocular corrected vision = 56BHL( 12) loss of laryngeal protection, choking when eating, easy to cause aspiration; (13) Reflux esophagitis after esophageal reconstruction; (14) More than 2/3 defects in one ear or both ears; (15) The alveolar bone was damaged by 78cm, and more than 10 teeth were missing. (16) The muscle strength of paraplegia or hemiplegia is Grade 4; (17) The muscle strength of both hands is grade 4; (18) One-handed partial paralysis with muscle strength grade 3; (19) The muscle strength of bipedal partial paralysis was grade 3; (20) The muscle strength of one-legged paraplegia is Grade 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 was severed; (25) The interphalangeal joint of one thumb is deformed and its function is completely lost; (26) The proximal interphalangeal joints of 2~3 fingers (including the index finger) were severed except the thumb of one hand; (27) The function of proximal interphalangeal joints of 2~3 fingers (including index finger) is lost 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) Except the big toe, the other four toes are deformed by scar and lose their function; (3 1) One forefoot is missing; (32) After artificial joint operation, the joint function is good; (33) Traumatic synovitis and long-term multiple effusion; (34) Lower limb retraction after injury? lt； 3cm 、>; 2cm(35) lobectomy; (36) Mild impairment of lung function; (37) Partial thoracotomy to treat localized empyema; (38) Pneumoconiosis stage I, with normal lung function; (39) radiation pneumonic midge song lt; Normal lung function; (40) Other occupational lung diseases with mild lung function injury; (4 1) pneumonectomy1/4; (42) Chronic mild toxic liver disease; (43) Biliary tract injury after cholangioenterostomy; (44) Adult splenectomy; (45) Pancreatectomy1/3; (46) Complete remission of aplastic pelvic blood; (47) Leukopenia; (48) neutropenia; (49) thrombocytopenia (8 square centimeters or more than three places >; 1 cm2 hypertrophic scar; (6) One or both eyelids have obvious defects or ectropion; (7) The total scar area is 40% ~ 49%; (8) Corrected vision at a glance = 0.5; (9) binocular corrected vision is equal to 0.4; (10) binocular visual field =4 1Dbhl or one ear >; = 9 1 dbhl； (16) Dyspnea (larynx) during manual labor; (17) Pronunciation and speech difficulties; (18) One ear or both ears are defective >: 1/3, =cm, with more than 8 missing teeth; (20) The tongue defect is less than 65438+ 0/3 of the tongue defect; (2 1) Bilateral nasal atresia or nasopharyngeal atresia; (22) Bilateral temporomandibular joints are stiff and it is difficult to open the mouth twice; (23) Abnormal swallowing after esophagoplasty; (24) Mild damage of thyroid function; (25) Parathyroid function was slightly impaired; (26) Vertebral compression fracture; The leading edge height decreases by more than1/2; (27) No neurological symptoms after spondylolisthesis; (28) The muscle strength of one-limb paralysis or one-hand total paralysis is Grade 4; (29) Partial paralysis of both hands with muscle strength of Grade 4; (30) Bipedal paraplegia muscle strength grade 4: (3 1) One-foot partial paraplegia muscle strength grade 3; (32) In one hand, except thumb and forefinger, the proximal interphalangeal joints of two fingers were severed; (33) The proximal interphalangeal joint of two fingers has no function except thumb and forefinger; (34) One toe is missing and the other toe is missing; (35) One foot has a big toe deformity and loses its function, and the other foot is not a big toe deformity; (36) One foot is missing three toes except the big toe; (37) Except for the big toe, the other three toes of one foot are scarred and deformed, and their functions are completely lost; (38) Chronic osteomyelitis is caused by open fracture infection, and it occurs repeatedly; (39) After joint trauma or injury-related surgery, there was no effusion left in traumatic arthritis; (40) cardiac insufficiency 1 grade; (4 1) vascular substitutes for vascular reconstruction; (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) Adrenal defect; (52) After ureter repair; (53) After urethral repair; (54) One testicle and accessory testicle were removed; (55) A vas deferens is defective and cannot be repaired; (56) Unilateral oophorectomy for women of childbearing age; (57) Unilateral salpingectomy for women of childbearing age; (58) Unilateral mastectomy for women of childbearing age; (59) sexual dysfunction; (60) The limb function was affected after surgical treatment for acute and chronic radiation skin loss of ⅳ degree; (6 1) Long-term unhealed patients with radiation-induced skin ulcers. 9. One of the following 43 situations under the nine-level industrial injury and occupational disease identification standard can be identified as a nine-level industrial injury or occupational disease. (1) mild epilepsy; (2) skull defect >; =25 square centimeters, no dysfunction; (3) No dysfunction after lobectomy; (4) Paralysis of the ophthalmic branches of the fifth pair of cranial nerves and the fourth pair of cranial nerves; (5) Scary baldness at the edge of hairline, who needs to wear a wig; (6) The nose or the same part is obviously deformed or >; 3 square centimeters of hypertrophic scar; (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) Corrected vision is clear at a glance >: =0.3 Corrected vision of the other eye > 0.4; (12) binocular corrected vision is equal to 0.5; (13) stage Ⅲ (or severe) of occupational (radioactive) and traumatic cataract; (14) Lacrimal organ was lost, and operation could not improve epiphora; (15) binaural hearing loss >: =3 1Dbhl or one ear hearing loss >; = 7 1 dbhl； (16) Pronunciation and speech disorders; (17) Normal eaters after esophagectomy; (18) One ear or both ears defect >: 1/5, = 0.8; (6) binocular corrected vision =26Dbhl, or one ear >; = 56Dbhl( 13) bilateral vestibular dysfunction, unable to stand with eyes closed; (14) Pronunciation difficulties; (15) One ear or both ears defect >: 2 cm2; (16) After unilateral or binaural reconstruction; (17) chrome nasal disease (asymptomatic); (18) loss of sense of smell; (19) Among the teeth, joints above 1 or more than 2 other teeth fall off; (20) One temporomandibular joint is stiff, and it is difficult to open the mouth forcefully. (2 1) The sinuses or cheeks are different and have not been removed; (22) unilateral nasal cavity or nostril atresia; (23) perforation of nasal septum; (24) nose or face >; 1 cm2 hypertrophic scar; (25) Post-traumatic spinal arthritis with low back pain under 50 years old; (26) any finger except one thumb is cut off or loses its function; (27) After fingertip skin grafting (hypertrophic scar 1 cm2 or more); (28) The skin graft area of the back of the hand is more than 50 square centimeters, and there are obvious scars; (29) partial dysfunction of interphalangeal joint of one thumb; (30) The right product of skin transplantation of palms and feet >; 30%; (3 1) Except thumb, the other 3~4 fingers are missing; (32) Any toe is missing except the big toe; (33) Skin grafting on the back, area >; 100 cm2; (34) There was no dysfunction after fracture healing in all parts of the body; (35) There is no dysfunction after meniscectomy, patella resection, intervertebral disc resection or ligament repair after trauma; (36) Pleural adhesion and thickening after simple closed drainage of hemopneumothorax; (37) Foreign bodies stay in the chest wall; (38) There was no dysfunction after the fracture of costal cartilage, clavicle and sternum was cured; (39) After liver repair; (40) After spleen repair; (4 1) After pancreatic repair; (42) After exploration or gastric repair; (43) After exploratory laparotomy or colon repair; (44) After exploratory laparotomy or small intestine repair; (45) After renal repair; (46) After bladder repair; (47) After ovarian repair; (48) After tubal repair; (49) After breast repair; (50) Chronic radiation-induced skin injury of one hand or both hands is more than II degree; (5 1) The identification of mild work-related injuries with immune function was carried out at the place designated by the local work-related injury department, namely Nanjing Human Resources and Social Security Bureau and Labor Ability Appraisal Committee. Workers can identify work-related injuries in designated departments according to the above standards, and make reimbursement or compensation according to the Regulations on Work-related Injury Insurance.