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急诊科诊断性放射检查前的妊娠筛查;一项教育性综述

Pregnancy Screening before Diagnostic Radiography in Emergency Department; an Educational Review.

作者信息

Abushouk Abdelrahman Ibrahim, Sanei Taheri Morteza, Pooransari Parichehr, Mirbaha Sahar, Rouhipour Alaleh, Baratloo Alireza

机构信息

Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Department of Radiology, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Emerg (Tehran). 2017;5(1):e60. Epub 2017 Feb 28.

Abstract

In modern medical practice, there is an increasing dependence on imaging techniques in most medical specialties. Radiation exposure during pregnancy may have serious teratogenic effects to the fetus. Therefore, checking the pregnancy status before imaging women of child bearing age can protect against these effects. Lack of international regulations and standard protocols exposes the patient to unexpected fetal radiation effects and the health professionals to medicolegal suits. Recently, the American Academy of Radiology and the European community of Medical Ionizing Radiation Protection released national guidelines regarding pregnancy screening before imaging potentially pregnant females. However, different methods of pregnancy screening exist among different radiology centers. This review aims to discuss the most recent guidelines for imaging females of childbearing age and highlight the need for an international regulation to guide pregnancy screening before diagnostic radiation exposure.

摘要

在现代医学实践中,大多数医学专科对成像技术的依赖日益增加。孕期的辐射暴露可能会对胎儿产生严重的致畸作用。因此,在对育龄女性进行成像检查前检查其妊娠状态可预防这些影响。缺乏国际法规和标准方案会使患者面临意外的胎儿辐射影响,也会使医疗专业人员面临医疗法律诉讼。最近,美国放射学会和欧洲医学电离辐射防护共同体发布了关于对可能怀孕的女性进行成像检查前妊娠筛查的国家指南。然而,不同的放射学中心存在不同的妊娠筛查方法。本综述旨在讨论针对育龄女性成像检查的最新指南,并强调需要有国际法规来指导在进行诊断性辐射暴露前的妊娠筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70e9/5585830/32e343702d03/emerg-5-e60-g001.jpg

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