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[电外科手术的电磁危害——职业暴露于人体中感应的电磁场和电流的评估]

[Electromagnetic hazards from electrosurgery--assessment of occupational exposure to electromagnetic field and currents induceed in the body].

作者信息

Gryz Krzysztof, Karpowicz Jolanta

机构信息

Centralny Instytut Ochrony Pracy Państwowy Instytut Badawczy 00-701 Warszawa, ul. Czerniakowska 16.

出版信息

Rocz Panstw Zakl Hig. 2006;57(2):165-75.

Abstract

The investigation of the occupational exposure to electromagnetic fields from electrosurgery devices were done (according to the requirements of Polish Standard PN-T-06580:2002). The exposure was evaluated following the criteria established by occupational safety and health regulations. The measurements and evaluation of the currents flowing through the exposed workers body were also conducted following the method and criteria published by IEEE standard and European Directive 2004/40/EC. It was found that in the vicinity of electrosurgical devices, the area of electromagnetic fields to which only workers operating the source of field should be exposed can exist up to the distance of 70 cm from the active electrode and supplying cables. In the case when the cables are placed directly on the surgeon body or long duration of the daily exposure the overexposure of workers can appear (referring to Polish regulations). The current flowing through the arm of surgeon keeping the electrode with electric field of the maximum strength (app. 1000 V/m or higher) can exceed permissible value of 40 mA established by the Directive 2004/40/EC for contact current. The reduction of the surgeon exposure can be reached by the proper positioning of the cables supplying monopolar electrode or by the use of bipolar electrode.

摘要

按照波兰标准PN-T-06580:2002的要求,对电外科设备产生的职业电磁场暴露进行了调查。根据职业安全与健康法规制定的标准对暴露情况进行了评估。还按照IEEE标准和欧洲指令2004/40/EC公布的方法和标准,对流过暴露工人身体的电流进行了测量和评估。结果发现,在电外科设备附近,仅操作场源的工人应暴露于其中的电磁场区域,在距有源电极和供电电缆70厘米的距离内都可能存在。如果电缆直接放在外科医生身体上或每日暴露时间过长,工人可能会出现过度暴露(参照波兰法规)。当外科医生手持电极,处于电场强度最大(约1000 V/m或更高)的情况下,流过其手臂的电流可能会超过指令2004/40/EC规定的接触电流允许值40 mA。通过正确放置供应单极电极的电缆或使用双极电极,可以减少外科医生的暴露。

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