辐射防护通讯 ›› 2021, Vol. 41 ›› Issue (4): 39-43.

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职业性急性放射性皮肤损伤病例诊断评价

马艳红1, 沙海洋1, 马娅2, 赵燕1, 刘伟2, 李鹏1   

  1. 1.山东省职业卫生与职业病防治研究院,山东第一医科大学(山东省医学科学院),济南,250002;
    2.山东第一医科大学(山东省医学科学院)预防医学科学学院(放射医学研究所),济南,250062
  • 收稿日期:2021-05-27 出版日期:2021-08-20 发布日期:2022-03-04
  • 通讯作者: 李鹏,E-mail: sdzfy2005@126.com
  • 作者简介:马艳红(1986—),女,2012年毕业于山东中医药大学中医七年制专业,硕士。主治医师。E-mail:mayanhong1228@163.com
  • 基金资助:
    国家卫生健康委法规司2020年度公共卫生标准追踪评价项目(项目编号:20202105)。

Diagnosis Evaluation of Cases of Occupational Acute Radiation Skin Injury

Ma Yanhong1, Sha Haiyang1, Ma Ya2, Zhao Yan1, Liu Wei2, Li Peng1   

  1. 1. Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan, Shandong, 250002;
    2. Institute of Radiation Medicine, Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan, Shandong, 250062
  • Received:2021-05-27 Online:2021-08-20 Published:2022-03-04

摘要: 采取问卷调查形式,收集并统计、分析2016—2019年确诊的6例职业性急性放射性皮肤损伤病例。结果表明,工业辐照和工业探伤是导致工人职业性急性放射性皮肤损伤的重点工种,放射单位应加强放射工作人员的培训,尤其是岗前培训,提高防护意识;工人进入放射工作场所,应佩戴常规剂量计,并在关键岗位佩戴报警式剂量计;诊断职业性急性放射性皮肤损伤涉及诊断医师对标准的熟悉程度和严格把握采用,关键在于明确的受照剂量和临床表现。

关键词: 职业性急性放射性皮肤损伤, 诊断评价

Abstract: In the form of questionnaire survey, 6 cases of occupational acute radiation skin injury diagnosed from 2016 to 2019 were collected and statistically analyzed in terms of length of service, type of work, exposure time, exposure dose and clinical manifestations, and the characteristics of occupational exposure, occupational exposure control points and follow-up feedback of applicable diagnostic criteria were analyzed and discussed. The results suggest that industrial radiation and industrial flaw detection are the key jobs leading to occupational acute radiation skin injury. Radiation units should strengthen the training of radiation workers, especially the pre-job training, to improve the awareness of protection. Workers entering radiation workplaces should not only wear conventional dosimeters, but also carry alarm dosimeters. The diagnosis of occupational acute radiation skin injury involves the diagnostic physician's familiarity with the cviteria, but the key to the diagnosis of occupational acute radiation skin injury is to determine the dose and clinical manifestations.

Key words: Occupational acute radiation skin injury, Diagnosis evaluation

中图分类号: 

  • R148