《放射性神经系统疾病诊断标准》解读

Explanation of Diagnostic Criteria for Radiation-Induced Nervous System Disease

  • 摘要: 国家职业卫生标准——《放射性神经系统疾病诊断标准》已经由卫生部发布并实施。此标准原为放射性脑、脊髓、外周神经损伤3个独立的标准,但在临床工作中3者的损伤往往相伴出现,为了实现标准的整体性及可操作性,因此将3个诊断标准合并为《放射性神经系统疾病诊断标准》,此标准是在广泛调研国内外相关文献、总结临床实践经验,并参考国外相关出版物的基础上制定的。此标准主要适用于职业性放射性神经系统疾病的诊疗,医疗照射引起的神经系统疾病的诊疗也可参照使用。为了更好地执行此标准,也为了能正确处理放射性神经系统损伤,该文对标准的主要内容包括剂量阈值、临床表现、分度标准、治疗原则等进行解读。

     

    Abstract: National occupational health standard—Diagnostic Criteria for Radiation-Induced Nervous System Disease has been issued and implemented by the Ministry of health. This standard contained three independent criteria of the brain, spinal cord and peripheral nerve injury. These three kinds of disease often go together in clinic, therefore, the three diagnostic criteria were merged into radioactive nervous system disease diagnostic criteria for entirety and maneuverability of the standard. This standard was formulated based on collection of the clinical practice experience, extensive research of relevant literature and foreign relevant publications. It is mainly applied to diagnosis and treatment of occupational radiation-induced nervous system diseases, and to nervous system diseases caused by medical radiation exposure as well. In order to properly implement this standard, also to correctly deal with radioactive nervous system injury, the main contents of this standard including dose threshold, clinical manifestation, indexing standard and treatment principle were interpreted in this article.

     

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