辐射防护通讯 ›› 2025, Vol. 45 ›› Issue (5): 1-7.

• 专家论坛 • 上一篇    下一篇

我对放射医学的再认识

白光   

  1. 中国核工业北京华清公司,北京 100037
  • 收稿日期:2025-03-28 出版日期:2025-10-20 发布日期:2026-01-15
  • 作者简介:白光(1939—),男,1963年毕业于中国医科大学医疗系,研究员。E-mail:fdwhite70@163.com

Reevaluation of radiological medicine

BAI Guang   

  1. Beijing Huaqing Company, China Nuclear Industry Corporation, Beijing 100037
  • Received:2025-03-28 Online:2025-10-20 Published:2026-01-15

摘要: 在回顾和分析我国放射工作人员的医学监督和临床放射医学实践的基础上,提出应该抛弃以医学监督为主线的放射医学思路;应该遵循国际放射防护委员会(ICRP)第118号出版物的引领,为苏联定义的、在我国沿用至今的“慢性放射病”问题做个了结,重新规划我国的放射性疾病体系;应该建立以剂量-效应关系为准则的新的放射医学思维,在保健物理、医学救治和电离辐射相关医学三个维度上定义和发展我国的放射医学。新时代的放射医学不局限于职业医学,而应走上多元化发展的新境界。

关键词: 放射医学, 医学监督, 慢性放射病, 剂量-效应关系

Abstract: This paper reviews and analyzes the medical surveillance and clinical radiological practices of radiation workers in China. Based on the analysis, this paper suggests abandoning the radiological medicine model focused on medical surveillance. Taking ICRP Publication 118 framework as reference, the ending of the "chronic radiation sickness" definition from former Soviet Union, which is still used in China, is called for. This paper also proposes establishing a new radiological medicine model based on dose-effect relationships and defining and developing China's radiological medicine across health physics, medical treatment, and ionizing radiation-related medicine. Radiological medicine in the new era should extend beyond occupational medicine to embrace diversified development.

Key words: radiological medicine, medical surveillance, chronic radiation sickness, dose-effect relationship

中图分类号: 

  • TL75;R81