125I粒子模拟植入过程辐射剂量及护监测.docVIP

125I粒子模拟植入过程辐射剂量及防护监测 　　【摘 要】目的：模?M分析125I粒子植入过程中医务人员和患者密切接触者的辐射剂量，探讨辐射防护措施。方法：模拟125I粒子植入过程中四种状态，即：（1）125I粒子装仓时；（2）125I粒子植入操作状态下； （3）病人植入125I粒子后；（4）使用铅防护用品状态下。针对每一种情况，分别按0cm、10 cm、30cm、50cm、100cm、150cm进行不同垂直距离辐射剂量监测。观察粒子植入过程中不同数量及状态、不同植入深度的辐射剂量和剂量衰减率，探讨医务人员和患者密切接触者在125I粒子植入过程中辐射防护与安全问题。结果：粒子装仓环节是医务人员受到职业照射最严重的环节之一，应特别加强辐射安全防护；肉体组织对低能X-Y射线有较强的衰减作用，植入深度越深组织衰减作用越强，但随着放射性强度的增加，组织衰减率有所降低；铅能抵挡绝大部分低能X-Y射线，放射性强度较低时， 0.25铅当量的铅手套便能屏蔽95%左右的射线， 0.5铅当量的铅衣几乎能屏蔽掉所有的低能X-Y射线。随着放射性强度的增加，屏蔽性能略有下降，仍然能达到90%～97%左右。结论：粒子植入过程中，穿戴铅防护用品对医务人员的保护极为重要；加强重点环节的屏蔽防护措施，可以大大减少低能X-Y射线对医务人员的辐射损害；对于植入术后的患者应采取多种有效措施，可以大大缩短患者密切接触者的安全距离。 中国论文网 /6/viewhtm　　【关键词】125I粒子；辐射剂量；辐射防护 　　Abstract Objective： To An imitative analyzes of radiation dose received by the medical workers and the patients’ intimate friends during particle the planting is done in order to protect them from being hurt.The protective method is also investigated. Method：There are four conditions when 125I prrticle is planted into some one：1.when 125I particle is looded；2.During the planting process；3.After the patients received the planting；4.When protective lead is used. With a distance of 10cm，30cm，50cm，100cm，150cm of a straight radiation，observation on particle’s diffrernt number and condition ，diffrernt declining rate，different planting depth and dose one done.During planting process the safety problem of medical workers and patients’ intimate friends is investigated also. Result： Particle loading is a very serious problem to medical workers.They must strengthen their protective method. Flesh is strong to make X-Y radiation declining.If the planting is deeper，It’s power to make radiation declining will be stronger.But，With a increase of the radiation，the power to resist of flesh will become weaker. Lead can resist a great dose of X-Y radiation and makes it weaker.Gloves of 0.25 lead equivalent weight can resist 95% radiation.Dress of 0.5 lead equivalent weight can resist all X-Y radiation.However， with an increase of radiation，i