优化放射学检查策略减少创伤患者辐射暴露的研究进展

Research progress on optimizing radiological examination strategies to reduce radiation exposure in trauma patients

创伤患者救治过程中进行多次放射学检查,短时间内接受较大剂量电离辐射暴露,增加罹患肿瘤的风险。本文系统查阅国内外关于创伤患者放射学检查、照射参数设定及电离辐射防护措施的文献报道并进行阐述,以提高临床医师辐射风险认知优化放射学检查方案,督促放射科医师采取低剂量扫描策略并协助患者穿戴防护服,减少伤员医源性辐射暴露并降低电离辐射损伤。

Multiple radiological examinations have been conducted during the management of trauma patients,leading to a high dose of ionizing radiation exposure in a very short period,which increases the risk of developing malignant tumor.A systematic review of the latest literature on radiological examinations,irradiation parameter setting,and ionizing radiation protective measures for trauma patients has been carried out.The purpose of this study is to improve clinicians’awareness of radiation risk and optimize the radiology examination scheme,urge radiologists to adopt a low-dose scanning strategy and assist patients to wear protective clothing,reduce the iatrogenic radiation exposure of the wounded and reduce ionizing radiation injury.