Li L B, Kai M, Takano K, Ikeda S, Matsuura M, Kusama T
Department of Radiological Health, Faculty of Medicine, University of Tokyo, Japan.
Health Phys. 1995 Aug;69(2):261-4. doi: 10.1097/00004032-199508000-00011.
Radiation doses to staff involved with pediatric cardiac catheterization were measured using thermoluminescent dosimeters in 18 procedures. The average doses to the lens and thyroid, and the effective dose per procedure to the main operating physicians was 88, 180, and 8 microSv, respectively; to assistant physicians, 23, 51, and 2 microSv; and to technicians, 23, 27, and 2 microSv. In some procedures, the dose to the technician's hand approached 1,500 microSv. The doses received by physicians were proportional to cineangiographic time but with no correlation with integrated currents. The number of procedures which may be performed in a year by individual staff members was estimated to be 430 and 2,780 procedures for physicians and assistants, respectively. It was suggested that the front of the neck is an adequate position for the dosimeter to measure doses during pediatric catheterization.
在18例小儿心导管插入术操作中,使用热释光剂量计测量了参与操作的工作人员所接受的辐射剂量。主要术者每次操作时晶状体、甲状腺的平均剂量以及有效剂量分别为88、180和8微希沃特;助手分别为23、51和2微希沃特;技术人员分别为23、27和2微希沃特。在某些操作中,技术人员手部所接受的剂量接近1500微希沃特。术者所接受的剂量与电影血管造影时间成正比,但与积分电流无关。估计医生和助手每年分别可进行430例和2780例操作。研究表明,在小儿心导管插入术操作期间,将剂量计置于颈部前方是测量剂量的合适位置。