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一名骨科医生在国家医疗环境中的职业性电离辐射暴露报告——临床病例视角

A Report on Occupational Ionizing Radiation Exposure by an Orthopedic Surgeon in a National Health-care Setting - Clinical Case Perspective.

作者信息

Abosala Abdulbaset

机构信息

Department of Orthopaedics, Dr. Gray's Hospital, IV30 1SN, National Health Service Grampian, Elgin, Scotland, United Kingdom.

出版信息

J Orthop Case Rep. 2018 May-Jun;8(3):81-84. doi: 10.13107/jocr.2250-0685.1122.

Abstract

INTRODUCTION

The purpose of the study was to have a general overview of the current understanding of occupational ionizing radiation exposure among health care workers and to explore the potential risks of such exposure to orthopedic surgeons working in national health-care setting.

METHODS

The author conducted 4 months measurement of ionizing radiation exposure using body and finger dosimeter. The result used to estimate the annual occupational ionizing radiation exposure. The final results compared to previously published data with general exploration of the risk associated with such exposure through literature review.

RESULTS

The results indicate that the current exposure is below that of the dose limit set by the International Commission on Radiological Protection (ICRP) and found to be similar to previously published data.

CONCLUSION

Health-care employees are the largest group exposed to ionizing radiation [1, 2]. The carcinogenic effect of high dose of radiation on humans is well documented [1, 2], but the long-term effect of exposure to low doses of ionizing radiation is not clear. Some published studies indicate increased risk of cancer among female orthopedic surgeon which may or may not be directly linked to ionizing radiation exposure. We should reinforce the main principles recommended by the ICRP: Justification, optimization of protection, and dose limitation.

摘要

引言

本研究的目的是全面了解医护人员目前对职业性电离辐射暴露的认识,并探讨在国家医疗环境中工作的骨科医生面临这种暴露的潜在风险。

方法

作者使用身体和手指剂量计进行了4个月的电离辐射暴露测量。结果用于估计年度职业性电离辐射暴露量。最终结果与先前发表的数据进行比较,并通过文献综述对与这种暴露相关的风险进行了总体探索。

结果

结果表明,目前的暴露低于国际放射防护委员会(ICRP)设定的剂量限值,并且发现与先前发表的数据相似。

结论

医护人员是暴露于电离辐射的最大群体[1,2]。高剂量辐射对人类的致癌作用已有充分记录[1,2],但低剂量电离辐射暴露的长期影响尚不清楚。一些已发表的研究表明,女性骨科医生患癌症的风险增加,这可能与电离辐射暴露直接相关,也可能无关。我们应强化ICRP推荐的主要原则:正当性、防护最优化和剂量限制。

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