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一名诊断放射技师患慢性髓细胞白血病的病例。

A case of chronic myeloid leukemia in a diagnostic radiographer.

作者信息

Park Chulyong, Choi Sungyeul, Kim Dohyung, Park Jaechan, Lee Saerom

机构信息

Occupational Safety and Health Research Institute, KOSHA, Ulsan, Korea.

出版信息

Ann Occup Environ Med. 2014 Nov 28;26(1):54. doi: 10.1186/s40557-014-0054-8. eCollection 2014.

DOI:10.1186/s40557-014-0054-8
PMID:25650277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4312440/
Abstract

BACKGROUND

Occupational radiation exposure causes certain types of cancer, specifically hematopoietic diseases like leukemia. In Korea, radiation exposure is monitored and recorded by law, and guidelines for compensation of radiation-related diseases were implemented in 2001. However, thus far, no occupation-related disease was approved for compensation under these guidelines. Here, we report the first case of radiation-related disease approved by the compensation committee of the Korea Workers' Compensation and Welfare Service, based on the probability of causation.

CASE PRESENTATION

A 45-year-old man complained of chronic fatigue and myalgia for several days. He was diagnosed with chronic myeloid leukemia. The patient was a diagnostic radiographer at a diagnostic radiation department and was exposed to ionizing radiation for 21 years before chronic myeloid leukemia was diagnosed. His job involved taking simple radiographs, computed tomography scans, and measuring bone marrow density.

CONCLUSION

To our knowledge, this is the first approved case report using quantitative assessment of radiation. More approved cases are expected based on objective radiation exposure data and the probability of causation. We need to find a resolution to the ongoing demands for appropriate compensation and improvements to the environment at radiation workplaces.

摘要

背景

职业性辐射暴露会引发某些类型的癌症,特别是像白血病这样的造血系统疾病。在韩国,法律规定对辐射暴露进行监测和记录,并且在2001年实施了辐射相关疾病的赔偿指南。然而,到目前为止,尚无职业相关疾病依据这些指南获批赔偿。在此,我们报告首例经韩国职工工伤赔偿和福利服务局赔偿委员会批准的与辐射相关的疾病案例,该案例基于因果关系概率。

病例介绍

一名45岁男性诉说持续数天的慢性疲劳和肌痛。他被诊断为慢性髓性白血病。该患者是一家诊断放射科的诊断放射技师,在被诊断出慢性髓性白血病之前,他接触电离辐射达21年。他的工作包括拍摄普通X光片、计算机断层扫描以及测量骨髓密度。

结论

据我们所知,这是首例使用辐射定量评估获批的病例报告。基于客观的辐射暴露数据和因果关系概率,预计会有更多获批病例。我们需要找到解决办法,以应对对适当赔偿以及改善辐射工作场所环境的持续诉求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6efe/4312440/265d337b45fb/40557_2014_54_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6efe/4312440/8524159e4ec5/40557_2014_54_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6efe/4312440/265d337b45fb/40557_2014_54_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6efe/4312440/8524159e4ec5/40557_2014_54_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6efe/4312440/265d337b45fb/40557_2014_54_Fig2_HTML.jpg

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