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[冠状动脉造影术期间X射线照射剂量的评估]

[Evaluation of the X-ray exposure dosage during coronary cineangiography].

作者信息

Medeiros R B, Mennucci T A

机构信息

Escola Paulista de Medicina, São Paulo.

出版信息

Arq Bras Cardiol. 1990 Jul;55(1):31-3.

PMID:2073156
Abstract

PURPOSE

To study the radiation doses during cardiac catheterization.

PATIENTS AND METHODS

Thermoluminescents dosimeters were placed over a phantom's cardiac area, measuring both entrance and exit of the X-ray beam to check the absorbed dose. We could measure the doses in the examiner with dosimeters in frontal and hand's back regions.

RESULTS

The average rate of exposure in the cinefilmstep increases in the 5.2 times the average rate measured in the fluoroscopy mode. The dose absorbed by the patient was of 114 mGy during a total of 20 min X-ray exposure time (e.g. 15 min of fluoroscopy and 1 min of film). Compared to the results obtained with the phantom's dose we have found a relative error of 20. Under the same exposure time we wave found a 0.68 mSv dose in the examiner's hands and a 0.40 mSv dose in his eyes.

CONCLUSION

In this kind of procedure the examiner should have special concern as to observe the appropriate technical conditions besides having to make use of individual protection devices to minimize the radiation doses on his own behalf and behalf of his patient.

摘要

目的

研究心脏导管插入术中的辐射剂量。

患者和方法

将热释光剂量计置于模拟人体心脏区域,测量X射线束的入射和出射,以检查吸收剂量。我们可以用剂量计在检查者的前部和手部背部区域测量剂量。

结果

电影摄影步骤中的平均曝光率是透视模式下测量的平均曝光率的5.2倍。在总共20分钟的X射线曝光时间(例如,15分钟透视和1分钟摄影)内,患者吸收的剂量为114毫戈瑞。与模拟人体剂量的结果相比,我们发现相对误差为20。在相同的曝光时间下,我们发现检查者手部的剂量为0.68毫希沃特,眼部的剂量为0.40毫希沃特。

结论

在这类操作中,检查者除了必须使用个人防护装置以将自身及患者所受辐射剂量降至最低外,还应特别关注观察适当的技术条件。

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