Hojreh A, Prosch H, Karanikas G, Homolka P, Trattnig S
Universitätsklinik für Radiologie und Nuklearmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich,
Radiologe. 2015 Aug;55(8):663-72. doi: 10.1007/s00117-015-2816-x.
The radiation exposure of an unborn child should be principally avoided, whenever it is medically reasonably possible; therefore, the identification of pregnant patients is the first and the most important step in radiation protection of the unborn child. However, in cases of emergency saving the life of the patient has a higher priority than the radiation protection of the unborn child. In this review article, we present a longitudinal section through the national and international literature and guidelines as a basis for radiological management of a (possibly) pregnant patient. We also list some radiological procedures recommended in the literature for a series of maternal indications considering the contraindications of each method during pregnancy and radiation protection of the unborn child.
只要在医学上合理可行,应尽量避免未出生胎儿受到辐射;因此,识别孕妇是保护未出生胎儿免受辐射的首要也是最重要的一步。然而,在紧急情况下,挽救患者生命比保护未出生胎儿免受辐射具有更高的优先级。在这篇综述文章中,我们纵览了国内和国际文献及指南,作为对(可能)怀孕患者进行放射学管理的基础。我们还列出了文献中针对一系列母体指征推荐的一些放射学检查程序,并考虑了孕期每种方法的禁忌证以及未出生胎儿的辐射防护。