辐射防护2025，Vol.45Issue(5)：459-465,7.
我国部分省市职业性放射性疾病诊断病例分析
Analysis of diagnosed cases of occupational radiation sickness in some provinces and cities of China
摘要
Abstract
Through case analysis on occupational radiation-induced diseases diagnosed in recent years in some provinces and cities in China,this study identifies issues in the diagnosis of occupational radiation-induced diseases and explores solutions.A total of 45 cases were collected from Sichuan,Jiangsu,Inner Mongolia,Shandong,Henan,Tianjin,Anhui,Zhejiang,and the nuclear industry system(8 provinces and 1 system).Additionally,29 cases were collected from other provinces or provinces that did not report to the system,resulting in a total of 74 cases.The medical records were aggregated and analyzed.A questionnaire survey was conducted among 140 diagnostic physicians from 8 provinces and 1 secction to assess their awareness of standards,participation in standard dissemination,and application of standards.From 2013 to 2020,a total of 74 individuals were diagnosed with occupational radiation-induced diseases,involving 83 cases.Among these,35 individuals(42 cases)were diagnosed with harmful tissue reactions(deterministic effects),with the top three diseases being radiation-induced cataracts,radiation-induced skin injuries,and chronic radiation sickness.Additionally,39 individuals(41 cases)were diagnosed with radiation-induced tumors,with the top three being radiation-induced thyroid cancer,radiation-induced leukemia,and radiation-induced lung cancer.Eight individuals were diagnosed with two or more types of occupational radiation-induced diseases.The awareness rate of diagnostic standards among physicians was 76.2％,and 77％of physicians participated in standard dissemination activities.Regarding standard application,51.2％of physicians reported not using the standards or using them fewer than two times per year.The analysis reveals that in the diagnosis of occupational radiation-induced diseases,there are issues such as overestimation of radiation doses and low awareness and usage rates of diagnostic standards.Understanding the current status of occupational radiation-induced diseases is essential to address these challenges.关键词
职业性放射性疾病/标准评估/问卷调查/病例分析Key words
occupational radiation sickness/standard assessment/questionnaire survey/case analysis分类
医药卫生引用本文复制引用
于程程,余智平,邢志伟,赵风玲..我国部分省市职业性放射性疾病诊断病例分析[J].辐射防护,2025,45(5):459-465,7.基金项目
国家卫生健康委法规司常见职业性放射性疾病诊断标准实施评估(20202105). （20202105）
