Verdun Francis R, Aroua Abbas, Bochud François, Stauffer Jean-Christophe
Institut universitaire de radiophysique, Division de cardiologie, CHUV-UNIL, 1011 Lausanne.
Rev Med Suisse. 2008 May 28;4(159):1325-6, 1328-1331.
The volume of diagnostic or therapeutic procedures in cardiology requiring the use of ionizing radiation is continuously increasing. While most examinations involve doses relatively low and thus add a low risk to the process itself, there are situations where the doses exceed the dose where excess risk of death from cancer has been statistically demonstrated. In addition, some complex procedures can result in the emergence of deterministic effects such as burns to the skin. The aim of this contribution is to provide general practitioners with the tools required to exercise the justification of the procedure with regard to the radiation hazard involved. This information may also be useful in the framework of the informed consent of the patient.
心脏病学中需要使用电离辐射的诊断或治疗程序的数量正在持续增加。虽然大多数检查所涉及的剂量相对较低,因此给检查过程本身增加的风险也较低,但在某些情况下,剂量会超过已通过统计证明存在癌症死亡额外风险的剂量。此外,一些复杂的程序可能会导致出现确定性效应,如皮肤灼伤。本文的目的是为全科医生提供相关工具,以便他们就所涉及的辐射危害对检查程序进行正当性考量。这些信息在患者知情同意的框架内可能也会有用。