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心脏导管插入术中医生和患者的暴露情况。

Physician and patient exposure during cardiac catheterization.

作者信息

Rueter F G

出版信息

Circulation. 1978 Jul;58(1):134-9. doi: 10.1161/01.cir.58.1.134.

DOI:10.1161/01.cir.58.1.134
PMID:647876
Abstract

A survey of the literature was conducted to establish the anticipated ranges of exposure to both physicians and patients during cardiac catheterization. A brief explanation of a technic for using time-lapse photography and a computer model for exposure calculation is presented. The thermoluminescent dosimeter (TLD) results used as controls for exposure values calculated by the developed technique are presented in detail. Physician eye exposures of approximately 20 mR per cardiac catheterization procedure were measured, which would suggest a limit of five procedures per week for physicians. The average patient skin entrance exposure of 28 R is high, as is the 12 mR gonadal exposure; however, they are accepted because of the possible benefits of the procedure.

摘要

开展了一项文献调查,以确定心脏导管插入术期间医生和患者预期的辐射暴露范围。简要介绍了一种使用延时摄影的技术和一个用于计算辐射暴露的计算机模型。详细列出了用作所开发技术计算的辐射暴露值对照的热释光剂量计(TLD)结果。测量发现,每次心脏导管插入术医生眼部的辐射暴露约为20毫伦琴,这表明医生每周的操作限值为五次。患者皮肤入口处的平均辐射暴露为28伦琴,性腺辐射暴露为12毫伦琴,这一数值较高;然而,鉴于该手术可能带来的益处,这些数值是可接受的。

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引用本文的文献

1
Minimising radiation exposure to physicians performing fluoroscopically guided cardiac catheterisation procedures: a review.尽量减少在荧光镜引导下进行心脏导管插入术的医生的辐射暴露:综述
Radiat Prot Dosimetry. 2009 Feb;133(4):227-33. doi: 10.1093/rpd/ncp052. Epub 2009 Mar 27.
2
The "free" routine postcatheterization urogram: a cost/benefit analysis.导管插入术后尿路造影的“免费”常规检查:成本效益分析
Pediatr Cardiol. 1982;3(1):19-22. doi: 10.1007/BF02082325.
3
Patient radiation exposure during pediatric cardiac catheterization.小儿心脏导管插入术中的患者辐射暴露。
Cardiovasc Intervent Radiol. 1983;6(3):150-3. doi: 10.1007/BF02552767.