| Mao Yuxuan,Zhang Bingjie,Sun Quanfu,Jia Tianhe,Lyu Yumin,Liu Yulong,Zhao Fengling,Wang Jianwei,Wang Xuan,Liu Tongzhen.Investigation and analysis of an extensive skin injury to the back caused by accidental irradiation in interventional procedure[J].Chinese Journal of Radiological Medicine and Protection,2021,41(12):881-885 |
| Investigation and analysis of an extensive skin injury to the back caused by accidental irradiation in interventional procedure |
| Received:July 12, 2021 |
| DOI：10.3760/cma.j.issn.0254-5098.2021.12.001 |
| KeyWords:Interventional therapy Dose estimation Radiation-induced skin injury Clinical diagnosis and treatment |
| FundProject: |
| Author Name | Affiliation | E-mail | | Mao Yuxuan | Prevention and Treatment Center for Occupational Disease of Xinxiang City, Xinxiang 453003, China | | | Zhang Bingjie | Prevention and Treatment Center for Occupational Disease of Xinxiang City, Xinxiang 453003, China | 15690789220@126.com | | Sun Quanfu | National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | Jia Tianhe | Prevention and Treatment Center for Occupational Disease of Xinxiang City, Xinxiang 453003, China | | | Lyu Yumin | Henan Institute for Occupational Medicine, Zhengzhou 450052, China | | | Liu Yulong | Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Zhao Fengling | Henan Institute for Occupational Medicine, Zhengzhou 450052, China | | | Wang Jianwei | Prevention and Treatment Center for Occupational Disease of Xinxiang City, Xinxiang 453003, China | | | Wang Xuan | Prevention and Treatment Center for Occupational Disease of Xinxiang City, Xinxiang 453003, China | | | Liu Tongzhen | Prevention and Treatment Center for Occupational Disease of Xinxiang City, Xinxiang 453003, China | |
|
| Hits: 3200 |
| Download times: 931 |
| Abstract:: |
| Objective To carry out investigation and analysis of an extensive skin radiation injury to the back accidentally caused by interventional procedure and to explore the problems faced in the event with emphasis on avoiding the reoccurance of similar events in the future. Methods The data were collected by consulting the patient's detailed medical history, collecting and analyzing clinical diagnosis and treatment data, tracking and observing their clinical manifestations and signs. The patient's peripheral blood samples were also collected, together with the biological dose estimated and the equipment data collected on the site of the interventional treatment hospital. Results The whole body dose to the patient was estimated to be 0.95 Gy. The typical values of kerma rate of radiation incident on the body surface due to fluoroscopic procedures were 373.5 mGy/min in subtraction modality and 47.8 mGy/min in fluoroscopy modality, respectively. The annual effective dose to the interventional radiologist was 20.51 mSv due to his operation in long-time radiation exposure conditions, higher than 3.09 mSv for other interventional radiologists with similar workload in the same department. The whole body and local clinical manifestations of the patients were in line with radiation injury. No clear diagnosis has been obtained in several hospitals, nor can obvious treatment outcomes be obsevered. Conclusion Combined with the biological dose estimation result and clinical manifestations, the case was diagnosed as degree Ⅳ skin radiation injury. Radiation injury is closely related to whether the operation is conducted according to the standard and the output dose of X-ray machine. Non-specialized hospitals should strengthen clinical diagnosis and treatment of radiation injury. |
| HTML View Full Text View/Add Comment Download reader |
| Close |
|
|
|
