Investigation and analysis of an extensive skin injury to the back caused by accidental irradiation in interventional procedure
10.3760/cma.j.issn.0254-5098.2021.12.001
- VernacularTitle:一起介入治疗意外照射导致背部大面积放射性皮肤损伤的调查及分析
- Author:
Yuxuan MAO
1
;
Bingjie ZHANG
;
Quanfu SUN
;
Tianhe JIA
;
Yumin LYU
;
Yulong LIU
;
Fengling ZHAO
;
Jianwei WANG
;
Xuan WANG
;
Tongzhen LIU
Author Information
1. 新乡市职业病防治研究所 453003
- Keywords:
Interventional therapy;
Dose estimation;
Radiation-induced skin injury;
Clinical diagnosis and treatment
- From:
Chinese Journal of Radiological Medicine and Protection
2021;41(12):881-885
- CountryChina
- Language:Chinese
-
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.
