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The latest grading standard of anemia
The degree of human disability is divided into ten grades, and the disability grades are as follows:

First-degree disability

(1) brain, spinal cord and peripheral nerve injury

1, persistent plant survival state.

2, mental disorders or severe mental retardation, daily life can not take care of themselves.

3, quadriplegia (muscle strength below grade 3) or quadriplegia (muscle strength below grade 2).

4. Paraplegia (muscle strength below grade 2) is accompanied by serious defecation dysfunction and serious urination dysfunction.

(2) Neck and chest injuries

1, cardiac insufficiency, cardiac function grade ⅳ.

2, severe organic arrhythmia, cardiac function Ⅲ.

3. The cardiac function after heart transplantation is Grade III.

4. After combined heart-lung transplantation.

5. Dyspnea after lung transplantation (very serious).

(3) Abdominal injury

1, advanced liver failure after liver transplantation.

2. After double nephrectomy or single nephrectomy, dialysis treatment is needed to maintain life. Renal failure after renal transplantation.

(4) Injury of spine, pelvis and limbs

1, loss of three limbs (above elbow joint of upper limb and above knee joint of lower limb).

2. Two limbs are missing (above the elbow joint of the upper limb and above the knee joint of the lower limb), and the function of the main joints of the third limb is lost by 75%.

3. Two limbs are missing (above the elbow joint of the upper limb and above the knee joint of the lower limb), and 90% of any two joints of the third limb are rigidly fixed or lose function.

Second-degree and second-degree disability

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or severe mental retardation, people need help at any time in their daily lives.

2.Tripplegia (muscle strength below grade 3).

3, hemiplegia (muscle strength below level 2).

4, paraplegia (muscle strength below level 2).

5. Non paraplegic dyskinesia (severe).

(2) Head and face injuries

1, appearance damage (serious).

2. The maxilla or mandible is completely defective.

3. Loss or atrophy of both eyes.

4, blind eye level 5.

5. Bilateral eyelids are severely deformed (or eyelids droop seriously, covering all pupils), accompanied by blindness of grade 3 or above.

(3) Neck and chest injuries

1, dyspnea (extremely severe).

2. After heart transplantation.

3. After lung transplantation.

(4) Abdominal injury

1, advanced liver failure.

2. Renal failure.

3. After most small intestines are removed, the digestion and absorption functions are lost, and they are totally dependent on parenteral nutrition.

(5) Injury of spine, pelvis and limbs

1, loss above elbow joint of both upper limbs, or loss above elbow joint of one upper limb with loss above knee joint of one lower limb.

2. One limb is missing (above the elbow joint of the upper limb and above the knee joint of the lower limb), and the other two limbs each have two major joint functions that lose 75%.

3. The main joints of both upper limbs are all rigidly fixed or lose their functions up to 90%.

(6) Body surface and other injuries

1, skin scar formation reached 90% of body surface area.

2. Severe aplastic anemia.

Third-and third-degree disabilities

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or severe mental retardation, unable to live completely independently, requiring continuous supervision.

2. Complete sensory aphasia or mixed aphasia.

3, paraplegia (muscle strength below grade 3) with defecation or urination dysfunction.

4. The total quadriplegia (muscle strength below grade 2) with loss of both wrists reached 75%.

5. Severe defecation dysfunction with severe urination dysfunction.

(2) Head and face injuries

1, loss, atrophy or blindness of one eye is grade 5, and blindness of the other eye is grade 3.

2, blind eye level 4.

3. The binocular visual field is close to complete defect, and the effective value of visual field is ≤4% (diameter ≤ 5).

4, swallowing dysfunction, completely dependent on stomach tube to eat.

(3) Neck and chest injuries

1, after esophageal atresia or resection, feeding by gastrostomy or jejunostomy.

2, cardiac insufficiency, cardiac function Ⅲ.

(4) Abdominal injury

1, total pancreatic loss.

2. After nephrectomy on one side, the renal function on the other side is seriously decreased.

3. After most small bowel resection, the digestion and absorption function is seriously damaged, and most of them rely on parenteral nutrition.

Fourth or fourth degree disability

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or moderate mental retardation, severely limited ability of daily living, and sometimes need help.

2. Traumatic epilepsy (severe).

3, hemiplegia (muscle strength below level 3).

4, paraplegia (muscle strength below level 3).

5, penis organic erectile dysfunction (severe).

(2) Head and face injuries

1, which meets the three criteria of appearance damage (severe).

2. Maxillary or mandibular defect is 1/2.

3. One eyeball is missing, atrophied or blind, and the vision of the other eye is seriously impaired.

4, blind eye level 3.

5. The binocular visual field is extremely defective, and the effective value of visual field is ≤8% (diameter ≤ 10).

6. Binaural hearing impairment ≥9 1dBHL.

(4) Neck and chest injuries

1, severe organic arrhythmia, cardiac function grade Ⅱ.

2. After unilateral pneumonectomy.

3. Dyspnea (severe).

Grade 5 or 5 disability

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or moderate mental retardation, obviously limited ability of daily living, need guidance.

2. Complete motor aphasia.

3. Complete apraxia, agraphia, agraphia or agnosia.

4. Bilateral complete facial paralysis.

5, quadriplegia (muscle strength below level 4).

6, single limb paralysis (muscle strength below level 2).

7. Non paraplegic dyskinesia (moderate).

8. Most of the hands are paralyzed (muscle strength below level 2).

9, bipedal paralysis (muscle strength below level 2).

10, defecation has dysuria, one of which is serious.

(2) Head and face injuries

1, which is in line with the second item of the appearance damage (severe) standard.

2. One eyeball is missing, atrophied or blind, grade 5, and the other eye has moderate visual impairment.

3. The eyesight of both eyes is seriously impaired.

4. The binocular visual field is severely damaged, and the effective visual field is ≤ 16% (diameter ≤ 20).

5. One eyelid is severely deformed (or the eyelid is seriously drooping, covering all the pupils), accompanied by blindness in the other eye above grade 3.

6. Binaural hearing impairment ≥8 1dBHL.

7. Hearing impairment in one ear ≥9 1dBHL, and hearing impairment in the other ear ≥6 1dBHL.

8. Most tongue roots are defective.

9, pharyngeal or retropharyngeal injury left swallowing dysfunction, can only swallow liquid food.

(3) Neck and chest injuries

1, hypothyroidism and drug dependence caused by thyroid injury in minors.

2. Parathyroid dysfunction (severe).

3, esophageal stenosis, can only enter liquid food.

4, esophageal injury, intestinal replacement of esophageal surgery.

Six or six disabilities

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or moderate mental retardation, the ability of daily living is partially limited, but it can be partially compensated, and some people need help in their daily lives.

2. Traumatic epilepsy (moderate).

3. Diabetes insipidus (severe).

4. Complete facial paralysis on one side.

5.Tripplegia (muscle strength below level 4).

6, paraplegia (muscle strength below grade 4) with defecation or urination dysfunction.

7. Muscle paralysis in both hands (muscle strength below level 3).

8. Hemiplegia in one hand (muscle strength below grade 2), and the corresponding wrist joint function is lost by more than 75%.

9, bipedal paralysis (muscle strength below level 3).

10, organic erectile dysfunction of penis (moderate).

(2) Head and face injuries

1, which meets the four criteria of appearance damage (moderate).

2. A strip scar (0.3cm wide) was formed in the central area of the face, with a cumulative length of 20.0cm.

3. The facial flaky tiny scar is formed or the pigment is obviously abnormal, reaching 80% of the facial area.

4. Bilateral eyelids are severely deformed.

5. One eyeball is missing, atrophied or blind, and the vision of the other eye is ≤0.5.

6. One eye is severely visually impaired and the other eye is moderately visually impaired.

7. The binocular visual field is moderately defective, and the effective visual field is ≤48% (diameter ≤ 60).

8. Loss of bilateral vestibular balance function, difficulty in walking with eyes open, and inability to stand on both feet.

9, lip defect or deformity, the cumulative equivalent to more than 2/3 of the upper lip.

(3) Neck and chest injuries

1, bilateral recurrent laryngeal nerve injury, affecting function.

2. After unilateral thoracoplasty, more than 6 ribs were removed.

3. Female bilateral breasts are completely absent.

4. Cardiac insufficiency after heart valve replacement.

5, cardiac insufficiency, cardiac function level II.

6. Organic arrhythmia occurs after installing a permanent pacemaker.

7. Severe organic arrhythmia.

8. After lobectomy.

Seven or seven disabilities

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or mild mental retardation, which severely restricts activities related to daily life.

2. Incomplete sensory aphasia.

3. Most of them are bilateral facial paralysis.

4, hemiplegia (muscle strength below level 4).

5, paraplegia (muscle strength below level 4).

6, single limb paralysis (muscle strength below level 3).

7. Most muscles in one hand are paralyzed (muscle strength below level 2).

8, one foot paralysis (muscle strength below level 2).

9. Severe dysfunction of defecation or urination.

(2) Head and face injuries

1, a strip scar (width 0.3cm) was formed in the central area of the face, and the cumulative length was 15.0cm.

2, facial flake scar formation or obvious abnormal pigment, accumulated to 50% of the facial area.

3. Bilateral eyelids droop severely, covering all pupils.

4. One eyeball is missing or atrophied.

5. Moderate visual impairment in both eyes.

6. One eye is blind at Grade 3, and the vision of the other eye is ≤0.5.

7. Both eyes are blind.

8. Severe deformity of single eyelid (or severe drooping of eyelid, covering all pupils) combined with blindness of grade 3 or above.

9. Hearing impairment in one ear ≥8 1dBHL, and hearing impairment in the other ear ≥6 1dBHL.

10, the left swallowing function was impaired in the pharynx or retropharyngeal region, and only semi-liquid food was swallowed.

1 1, maxilla or mandible defect as high as 1/4.

12, maxillary or mandibular partial defect with tooth loss 14 or more.

13, maxillofacial soft tissue defect, accompanied by salivary leakage.

(3) Neck and chest injuries

1, thyroid dysfunction (severe).

2. Parathyroid dysfunction (moderate).

3, esophageal stenosis, can only enter semi-liquid food. Reflux esophagitis after esophageal reconstruction.

4. Adhesion of chin and neck (moderate).

5. Most of the female bilateral breasts are missing or severely deformed.

6, minors or women of childbearing age bilateral nipple completely missing.

7, thoracic deformity, chest breathing is limited.

8. After lobectomy and wedge resection of lung segment or lung tissue.

Grade 8 or 8 disability

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or mild mental retardation, activities related to daily life are severely limited.

2. Incomplete motor aphasia. Incomplete apraxia, agraphia, agraphia or agnosia.

3. Diabetes insipidus (moderate).

4. Most of the facial paralysis is on one side, leaving incomplete eyelids and crooked corners of the mouth.

5, single limb paralysis (muscle strength below level 4).

6. Non-paraplegic dyskinesia (mild).

7. Most muscles in one hand are paralyzed (muscle strength below level 3).

8, one foot paralysis (muscle strength below level 3).

9, penis organic erectile dysfunction (mild).

(2) Head and face injuries

1, appearance damage (moderate).

2. Those who have reached one of the disfigurement (serious) standards.

3. The scalp is completely defective and difficult to repair.

4, facial scar formation, the cumulative length of 30.0cm in the central area of the face to form a strip scar (0.2cm wide), the cumulative length of 15.0cm.

5. Huge hypertrophic scar is formed on the face, with cumulative area of15.0cm2. Huge hypertrophic scar is formed in the central area of the face, with a single area of 7.0cm2 or multiple cumulative areas of 9.0cm2..

6. Small patches of scar or abnormal pigment appear on the face, with the cumulative area of100.0cm2..

7, the blind level 4 is clear at a glance.

8. The visual field of one eye is close to complete defect, and the effective value of visual field is ≤4% (diameter ≤ 5).

9. Traumatic glaucoma in both eyes was treated by surgery.

10, severe single eyelid deformity (or severe eyelid drooping covering all pupils) combined with severe visual impairment in this eye.

1 1, hearing impairment in one ear ≥9 1dBHL.

12, binaural hearing impairment ≥6 1dBHL.

13, most bilateral alar defects, or most nasal tip defects combined with most unilateral alar defects.

14, the defect of tongue body reaches the lingual frenum.

15, lip defect or deformity, equivalent to upper lip 1/2 or more.

16, cerebrospinal fluid leakage continued after surgical treatment.

17, mouth opening is limited by ⅲ degree.

18, vocal function or dysarthria (severe).

19, abnormal swallowing after pharyngoplasty.

(3) Neck and chest injuries

1, thyroid dysfunction (moderate).

2. After stent implantation or vascular transplantation for severe stenosis of common carotid artery or internal carotid artery.

3. After partial esophagectomy, the chest and stomach were left.

4. Female breasts are completely missing. Female bilateral breasts are missing or damaged, and the cumulative range is equivalent to more than 3/4 of one breast.

5. Female bilateral nipples are completely missing.

6. 12 rib fracture healed abnormally in more than 6 places.

7. After the heart or great blood vessels are repaired.

8. After lobectomy.

9, after thoracoplasty, affect the respiratory function.

10, dyspnea (moderate).

Grade 9 and 9 disability

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or mild mental retardation, moderately limited activities related to daily life.

2. Traumatic epilepsy (mild).

3. After partial lobectomy.

4. One side is partially facial paralysis, and the left eyelid is closed or the mouth is skewed.

5. Partial muscle paralysis in one hand (muscle strength below level 3).

6. Most muscles in one foot are paralyzed (muscle strength below level 3).

7. Important nerve injuries of limbs (above elbow joint of upper limb and above knee joint of lower limb), leaving muscle strength of corresponding muscle groups below Grade 3.

8, seriously affect the erectile function of penis.

9. Mild defecation or dysuria.

(2) Head and face injuries

1, scalp scar formation or hairlessness, reaching 50% of the scalp area.

2. The skull defect is larger than 25.0cm2, which is not suitable or can't be repaired by surgery.

3. Appearance damage (mild).

4, facial scar formation, the cumulative length of 20.0cm facial strip scar formation (0.2cm wide), the cumulative length of 10.0cm, of which at least 5.0cm is located in the central area of the face.

5, facial block scar formation, a single area of 7.0cm2, or a number of cumulative areas of 9.0cm2.

6, facial flake scar formation or abnormal pigment, the cumulative area of 30.0cm2.

7. One eyelid is severely deformed. One eyelid droops heavily, covering all the pupils. Mild deformity of bilateral eyelids. Bilateral eyelids droop, covering some pupils.

8. Tears after lacrimal apparatus injury in both eyes.

9, binocular corneal pannus or pannus, involving the pupil area. After bilateral corneal transplantation.

10, bilateral traumatic cataract. After intraocular lens implantation in children.

1 1, three levels at a glance.

12, one eye has severe visual impairment, and the other eye has visual acuity ≤0.5.

13, the visual field of one eye is extremely deficient, and the effective value of visual field is ≤8% (diameter ≤ 10).

14, binocular quadrant visual field defect.

15, mild deformity of unilateral eyelid (or drooping eyelid covering part of pupil) combined with moderate visual impairment in this eye.

16, enophthalmos more than 5 mm after orbital fracture.

17, auricle defect or deformity, cumulatively equivalent to one auricle.

18, single ear hearing impairment ≥8 1dBHL.

19, hearing impairment in one ear ≥6 1dBHL, and hearing impairment in the other ear ≥4 1dBHL.

20. Most of the alar or nasal tip is defective or severely deformed.

2 1, lip defect or deformity, showing more than 3 teeth (of which 1 tooth shows up to 1/2).

22, jaw fracture, after traction or fixation treatment left dysfunction.

23, maxillary or mandibular partial defect with teeth missing or broken more than 7.

24, the mouth is limited to Ⅱ degrees.

25. Vocal function or dysarthria (mild).

(3) Neck and chest injuries

1, scar formation in the anterior cervical triangle, with a cumulative area of 50.0cm2.

2. Thyroid dysfunction (mild).

3. Parathyroid dysfunction (mild).

4. After tracheoplasty or bronchoplasty.

5. After esophageal anastomosis.

6. After esophageal stent implantation.

7, esophageal injury, affecting swallowing function.

8. Female bilateral breasts are missing or damaged, and the cumulative range is equivalent to one breast 1/2 or more.

9. Most female breasts are missing or severely deformed.

10, female nipples are completely missing or bilateral nipples are partially missing (or deformed).

1 1, 12 or more ribs are fractured, or more than 4 ribs are missing. More than 8 rib fractures, 4 abnormal healing.

12, cardiac insufficiency, cardiac function grade I.

13, after coronary artery transplantation.

14, ventricular aneurysm.

15, after the foreign body in the heart remains or is removed.

16 constrictive pericarditis.

17, thoracic duct injury.

18, after wedge resection of lung segment or lung tissue.

19, after the foreign body in the lung remains or is taken out.

Grade 10 or Grade 10 disability

(1) brain, spinal cord and peripheral nerve injury

1, mental disorder or mild mental retardation, and activities related to daily life are slightly limited.

2. Brain softening focus is formed after craniocerebral injury, accompanied by symptoms or signs of nervous system.

3. Partial facial paralysis on one side.

4. Complete loss of olfactory function.

5, diabetes insipidus (mild).

6, limb important nerve injury, leaving the corresponding muscle strength below level 4.

7, affect the erectile function of the penis.

8. After craniotomy.

(2) Head and face injuries

1, partial defect or deformity of the face and skull, affecting the face.

2. The scalp is scarred or hairless, with an area of 40.0cm2.

3. Strip scars on the face (0.2cm wide) with a cumulative length of 6.0cm, of which at least 3.0cm is located in the central area of the face.

4, facial scar formation, cumulative length of 65438±00.0cm.

5, facial block scar formation, a single area of 3.0cm2, or a number of cumulative areas of 5.0cm2.

6. There are small patches of scar formation or abnormal pigment on the face, and the cumulative area is10.0cm2..

7. One eyelid droops, covering some pupils. Slight deformity of single eyelid. Adhesion of one eyelid ball affects eye movement.

8. Tears overflow after lacrimal apparatus injury.

9. After the orbital fracture, the eyeball invaginated more than 2mm.

10, diplopia or strabismus.

1 1, pannus or pannus of cornea, involving pupil area. After corneal transplantation.

12, monocular traumatic glaucoma, surgical treatment. Traumatic hypotony in one eye.

13, one eye has no iris after injury.

14, traumatic cataract. After implantation of aphakia or intraocular lens.

15, moderate visual impairment in one eye.

16, binocular vision ≤0.5.

17, the visual field in one eye was defective, and the effective visual field was ≤48% (diameter ≤ 60).

18, single ear hearing impairment ≥6 1dBHL.

19, binaural hearing impairment ≥4 1dBHL.

20. Loss of vestibular balance with hearing loss.

2 1, auricle defect or deformity, equivalent to 30% of an auricle.

22, nasal tip or alar cartilage partial defect.

23, lip valgus or small mouth deformity.

24, lip defect or deformity, resulting in tooth exposure.

25. Partial defect of tongue.

26. More than 7 teeth are missing or broken. Part of alveolar bone defect, combined with tooth loss or broken more than 4 pieces.

27, mouth opening is limited to Ⅰ degrees.

28, pharyngeal or retropharyngeal injury affect swallowing function.

(3) Neck and chest injuries

1, after the mental neck adhesion deformity is released.

2. Scar formation in the anterior cervical triangle, with a cumulative area of 25.0cm2.

3, one side of the recurrent laryngeal nerve injury, affect the function.

4. Organic hoarseness.

5. After esophageal repair.

6. Female breast is partially missing or deformed.

7. There are more than 6 rib fractures, or more than 2 ribs are partially missing. More than 4 rib fractures, 2 abnormal healing.

8. After lung repair.

9. Dyspnea (mild).

(4) Abdominal injury

1, abdominal hernia, surgical repair is difficult.

2. After the liver, spleen or pancreas are repaired.

3. After the stomach, intestine or biliary tract are repaired.

4. After diaphragm repair.

(5) Pelvis and perineum injuries

1, after kidney, ureter or bladder repair.

2. After the uterus or ovary is repaired.

3. After vulva or vagina repair.

4. After the testicular rupture is repaired.

5. After repair of ruptured vas deferens on one side.

6. After urethral repair.

7, perineal scar contracture, anal canal stenosis.

8. Partial loss of penis head.

(6) Injury of spine, pelvis and limbs

1, odontoid fracture of axis, affecting function.

2. Vertebral compression fracture (compression degree is 65438 0/3) or comminuted fracture. After surgical treatment of spinal fracture.

3, more than four transverse processes, spinous processes or pedicle fractures, affecting function.

4. More than two pelvic fractures or comminuted fractures, resulting in abnormal healing.

5. Unilateral patella resection.

6. After surgical treatment, one knee joint cruciate ligament and meniscus with lateral collateral ligament tear will affect the function.

7, adolescent limb long bone fracture involving epiphysis.

8, an upper limb forearm rotation function loss of more than 75%.

9. The length difference of upper limbs is more than 4.0cm.

10, and the length difference of both lower limbs is more than 2.0cm.

1 1, and the function of any major joint of limbs (except ankle joint) is lost by more than 25%.

12, one ankle joint lost more than 50% function.

13, traumatic arthritis after any major joint fracture of lower limbs.

14, circulatory disturbance of important blood vessels in limbs, affecting function.

15, complete loss of the first little finger with partial defect of the fifth metacarpal bone.

16, the function of one toe lost more than 75%. Loss of function of one foot and five toes reached 50%. The functional loss of both toes reached 50%. The function of any four toes of both feet except the big toe is completely lost.

17, malunion of comminuted calcaneal fracture.

18, a full arch structure was partially damaged.

19, hand or foot function loss score ≥ 10.

(6) Body surface and other injuries

1, hand skin scar formation or skin grafting, covering 50% of the palm area.

2. Skin scar formation reaches 4% of body surface area.

3. Long-term nonunion of skin wound 1 year or more, with the range reaching 1% of body surface area.