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X射线透视在骨科手术中的应用:患者视角

Use of X-ray fluoroscopy in orthopedic operations: The patient's perspective.

作者信息

Ul-Abadin Zain, Khan Faisal Rauf, Rauf Shams, Rauf Nadia

机构信息

Blackpool Victoria Hospital, Blackpool, UK;

出版信息

Drug Healthc Patient Saf. 2009;1:21-4. doi: 10.2147/dhps.s4522. Epub 2009 Jun 18.

Abstract

We collected data from 50 patients who had orthopedic trauma surgery involving X-ray fluoroscopy. All patients were interviewed post-operatively. The aim of the study was to find out what patients thought of orthopedic trauma surgery, the radiation involved, and their concerns post-trauma surgery. Were they given information about the procedures? Did the surgery follow the Department of Health, UK guidelines? That is, consent should be informed, etc. Results showed that most of the patients were unaware of the fact that they were X-rayed during the operation; hence the emphasis on informed consent should be stressed. Most of the patients were unaware about the availability of any protective clothing (lead shield). Even some female patients were unaware of the harmful effects of the radiation on the fetus. Hence, we recommend that more information and education be given to orthopedic trauma patients regarding X-rays.

摘要

我们收集了50例接受涉及X线透视的骨科创伤手术患者的数据。所有患者均在术后接受了访谈。本研究的目的是了解患者对骨科创伤手术、所涉及的辐射以及创伤手术后他们所关心问题的看法。他们是否得到了关于手术程序的信息?手术是否遵循了英国卫生部的指南?也就是说,是否应进行充分的知情同意等。结果显示,大多数患者并未意识到他们在手术过程中接受了X线照射;因此,应强调充分知情同意的重要性。大多数患者不知道有任何防护服(铅屏蔽)可用。甚至一些女性患者也不知道辐射对胎儿的有害影响。因此,我们建议应向骨科创伤患者提供更多关于X线的信息和教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/134a/3108687/bcede1b40770/dhps-1-021f1.jpg

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本文引用的文献

1
Understanding operative intervention in childbirth: a patient perspective.
J Obstet Gynaecol. 2006 Nov;26(8):752-4. doi: 10.1080/01443610600955891.
2
Orthopaedic trauma in the pregnant patient.孕妇的骨科创伤
J Am Acad Orthop Surg. 2006 Mar;14(3):175-82. doi: 10.5435/00124635-200603000-00008.
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Incidental pregnancy in trauma patients.创伤患者的意外妊娠。
J Am Coll Surg. 2001 May;192(5):566-9. doi: 10.1016/s1072-7515(01)00818-3.
8
Trauma during pregnancy.孕期创伤
Emerg Med Clin North Am. 1994 Feb;12(1):167-99.

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