JACC:心超技术员在心脏介入手术中暴露的辐射剂量问题不容忽视!

2018-03-18 MedSci MedSci原创

经食道超声技术员(TEEOP)可以为心脏介入手术患者提供必要的临床影像资料,他们的位置往往靠近患者,并且会收到一些散在的辐射。本研究的目的旨在评估TEEOP在心脏介入手术中收到的辐射剂量。本研究对关键相关人员(TEEOP、麻醉师、主刀和二助)在做经食道超声检查时佩戴可卸载的辐射检测仪,对TEEOP的有效剂量(E)和E/KAP进行了测量。分析结构发现,在最开始的98次操作中,TEEOP的平均E值为2

经食道超声技术员(TEEOP)可以为心脏介入手术患者提供必要的临床影像资料,他们的位置往往靠近患者,并且会收到一些散在的辐射。本研究的目的旨在评估TEEOP在心脏介入手术中收到的辐射剂量。

本研究对关键相关人员(TEEOP、麻醉师、主刀和二助)在做经食道超声检查时佩戴可卸载的辐射检测仪,对TEEOP的有效剂量(E)和E/KAP进行了测量。分析结构发现,在最开始的98次操作中,TEEOP的平均E值为2.62 μSv(IQR:0.95-4.76μSv),与主刀的平均E值无明显差异(1.91 μSv ;IQR: 0.48 - 3.81 μSv;p = 0.101),但是比二助的剂量(0.48 μSv ;IQR: 0.00 -1.91 μSv;p < 0.001)和麻醉师的剂量(0.48 μSv ;IQR: 0.00 - 1.43 μSv;p < 0.001)明显要高。并且右前斜(RAO)方位与TEEOP的E/KAP增高明显相关(p = 0.041)。此外,在接下来的50个操作中,对TEEOP进行了相关辐射防护,E值减少了82%(p < 0.001)。

研究结果显示,经食道超声技术员在心脏介入手术中接受的辐射剂量与主刀医生相当,并且右前斜位的辐射剂量更高。

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    2018-11-29 hbwxf
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    2018-03-25 大爰

    学习了谢谢分享!!

    0

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    2018-03-20 jiyangfei
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    2018-03-18 1e0f8808m18(暂无匿称)

    做好技木人员防辐射保护很重要.

    0

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