职业与健康 ›› 2025, Vol. 41 ›› Issue (4): 437-441.

• 论著 • 上一篇    下一篇

131I放射性核素治疗工作场所平面布局设计及屏蔽效果验证

张灶钦, 耿继武, 许志强, 黎丽春, 苏世标   

  1. 广东省职业病防治院职业卫生评价所,广东 广州 510300
  • 收稿日期:2024-05-19 修回日期:2024-06-11 出版日期:2025-02-15 发布日期:2025-12-12
  • 作者简介:张灶钦,女,主任医师,主要从事放射卫生评价工作。
  • 基金资助:
    广东省医学科学技术研究基金(B2023486)

Layout design and verification of shielding effect of workplace for 131I radionuclide therapy

ZHANG Zaoqin, GENG Jiwu, XU Zhiqiang, LI Lichun, SU Shibiao   

  1. Institute of Occupational Health Assessment,Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China
  • Received:2024-05-19 Revised:2024-06-11 Online:2025-02-15 Published:2025-12-12

摘要: 目的 分析2023年湛江市某医院131I放射性核素治疗工作场所的平面布局及屏蔽设施在项目建设过程中存在的问题,提出整改方案并验证其屏蔽防护效果。方法 根据国家有关法律法规和标准规范,对该工作场所不同建设阶段的平面布局进行一致性对照分析,对该工作场所周围剂量当量率、放射性污染水平进行测量。结果 平面布局在控制效果评价阶段发生了功能用房等改变,建议重新预评价,平面布局基本合理。控制区内部工作场所关注点周围剂量当量率为本底值~57.11 μSv/h,分装柜外表面为本底值~0.26 μSv/h;控制区与监督区交界各关注点的周围剂量当量率为本底值~6.60 μSv/h。有4处屏蔽体存在γ射线泄漏,分别为体内残留测定室门外(57.11 μSv/h)、住院入口门(6.60 μSv/h)、治疗室北门(5.02 μSv/h)和治疗室南门(4.92 μSv/h)。经现场验证、整改,该工作场所辐射水平达到国家标准的相关要求,屏蔽效果较好。结论 医疗机构对核医学项目的建设应予以高度重视,做到严格按照预评价建议方案进行项目施工,同时注重屏蔽施工质量的监管,从源头上控制放射性污染,最大限度减少潜在照射的发生。

关键词: 放射性碘, 平面布局, 辐射防护

Abstract: Objective To analyze the plane layout of 131I radionuclide treatment workplace in a hospital in Zhanjiang and the problems existing in the shielding facilities during the construction of the project in 2023,and put forward the rectification scheme and validate the shielding protection effect. Methods According to the relevant laws,regulations and standards of the state,the consistency of the layout of the workplace in different construction stages was analyzed,and the ambient dose equivalent rate and radioactive contamination level of the workplace were measured. Results It was suggested that the plane layout should be re-evaluated and ensure that the plan layout was basically reasonable because of the change of functional housing in the stage of control effect evaluation. The dose equivalent rate around the focus in the control area was from background to 57.11 μSv/h in the workplace,and from background to 0.26 μSv/h on the outside surface of the distribution cabinet,and from background to 6.60 μSv/h at the boundary between the control area and the monitoring area. There were 4 gamma radiation leaks in the shield,which were outside the door of the in vivo residual test room(57.11 μSv/h),the entrance of the hospital(6.60 μSv/h),the north door of the treatment room(5.02 μSv/h) and the south door of the treatment room(4.92 μSv/h).After field verification and rectification,the radiation level of the workplace could meet the relevant requirements of national standards,and the shielding effect was good. Conclusion Medical institutions should attach great importance to the construction of nuclear medicine projects,strictly follow the pre-evaluation design plan for the construction and construction of the projects,and pay attention to the supervision of shielding construction quality,control radioactive contamination from the source,and minimize the occurrence of potential exposure.

Key words: Radioactive iodine, Plane layout, Radiological protection