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| Interpretation of diagnosis of occupational radiation skin diseases |
| YANG Wenfeng, YANG Zhixiang, JIN Zengqiang |
| PLA General Hospital Fifth Medical Center Burn and Plastic Surgery Department, Beijing 100071 China |
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Abstract In this paper, the characteristics, clinical manifestations, diagnostic criteria and treatment principles of acute and chronic radiation skin injury caused by external irradiation were analyzed based on domestic and foreign literatures, newly formulated national occupational health standards and the author's clinical experience, etc., which provide basis for timely treatment and standardized diagnosis and treatment of radiation skin injury. Acute radioactive skin injury is divided into Ⅰ, Ⅱ, Ⅲ and Ⅳ degrees according to the size and clinical manifestations of the irradiated dose. The clinical course of these four degrees of acute radioactive skin injury not only showed the association between dosage and injury, but also showed the obvious phases of severe radiation injury. Early dose estimation through skin injury degree is helpful for rapid and accurate diagnosis, early prediction of lesion severity and decision of treatment strategy. Chronic radioactive skin injury is caused by long-term exposure to low-dose radiation due to occupational reasons; Another reason is prolonged formation of acute radioactive skin injury, which divided into Ⅰ, Ⅱ and Ⅲ degree. It is only classified according to the degree of skin injury and has no strict dose-effect relationship with the radiation received. The treatment of acute and chronic radioactive skin injury is different according to the degree of injury. Local conservative treatment and surgical treatment using repair methods all consider the promotion effect of systemic treatment on wound healing.
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Received: 26 August 2019
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