Healthy check-up or less. Do perspective

Health reporter zhang, next

    On the job physical examination, the X-ray is one of the most common project. Is choice perspective (chest) or pat fluorescent fluoroscopy radiographs (chest X-ray photography), let many medical person puzzled.

   2 weeks "perspective" 4 times

    On April 6th morning, reporters in Beijing tongren hospital medical department mouth met just finished the medical examination of wang. "Yesterday, I watched the news about Japan radiological pollution, experts say, Japan to pollution in Beijing radiation math-model only X-ray fluoroscopy one of thousands of points. So then, clairvoyant radiation. The problem is not small 2 weeks since, I have been in physical perspective 4 times, don't know will the adverse impact to the body." Physical examination of perspective, wang after may lead to health effects feel anxious.

    Wang is this year was going to graduate college students, there have been five companies have admitted his intentions. "Start, I want to just find a the most satisfactory unit to medical went. But five companies have four home is taken difference, i.e. not medical policies to check-up will not be admitted, I had to every physical examination attends." Wang said, and that he had asked a unit of recruitment chief, whether can use other hospitals had patted the X-ray the principals with "cannot confirm that my film" and "false" on film easy given negative response.

    Subsequently, the reporter also random interviewed 10 in Beijing tongren hospital do entry of medical applicants, 3 in the examination 2 times above, and in every physical accepted fluoroscopy.

    Medical perspective do more harm than good

   By 2010, China's center for disease control radiation protection and nuclear safety according to survey what medical wrote the book Chinese radiation levels, which released the average chest incident 1254 cases surface dose is about, gy prescribed baekho 3.04 a plain film before 629 cases only the average dose for 0.36 baekho gy prescribed. Ipp researcher ZhuHanMin explanation say, this two digital is only average, specific to each X-ray, and its numerical and average also may have significant discrepancy. For instrument equipment, check the site and doctors check meticulous different degree, two doses of the chest X-ray differs a few times even hundreds. But by irradiation time perspective, long, its radiation dose far higher than ordinary radiographs dose is beyond doubt, therefore, perspective than shoot the harm of human body radiographs much greater.

    "Radiology fluoroscopy had actually be the 'sunset technology", is being knocked out, one reason is that the conscription examination' eat line, the more important "reason is the doctor by operation fluoroscopy influence, easy level caused by misdiagnosis." Beijing tiantan hospital GaoPeiYi radiology director told reporters.

    GaoPeiYi further explanation, formulate medical examination or treatment plan is the premise of "yield" than "pay". For example, patients with brain tumors before a surgery accept meticulous radiological examination, allows doctors to the patient know more about for surgical success rate, this belong to "yield" than "pay". But, in physical use should be "fluoroscopy red transaction". First of all, those who undertake the task of smaller hospital medical check equipment worrying, some hospitals don't give the thyroid, ShengShiXian medical such as those of X-ray sensitive areas provide armor protection, check-up of the "fragile" by radiation damage chance organs rose; Secondly, the different levels of radiology doctors hospital fluoroscopy, use some diseases tend to be in early diagnosis.

    "From about began five years ago, some of Beijing's 3 armour hospital has been canceled used in medical fluoroscopy, convert filming radiographs technology, digital already so, can reduce radiation dose and can greatly reduce LouZhenLv." GaoPeiYi said.

    Experts recommend check-up cancel perspective project

    In 2006 the radiation treatment began implementing regulations on the administration of the (health ministry make the size 46) article 26 requirements, "medical institutions in the implementation of radiological diagnosis of different inspection shall examine front method for analyzing the advantages and disadvantages, ensure the premise of diagnosis effect to human body health, priority less affected by the diagnosis technology". The "regulation" also requires, "not because of material management, client holds such makes client holds 47% accept unnecessary repeat illuminate", "should try to chest X-ray photography instead of chest fluorescence fluoroscopy".

    Reporters in the interview to realize, Beijing hospital, the temple of heaven in Beijing hospitals in the hospital does not medical fluoroscopy project. Reporter by the company's hr staff identity to Beijing some 3 armour hospital medical families call ask entry, the medical medical branch staff, told reporters that entry check-up packages are 130 yuan/people, including perspective, hepatorenal function etc projects including if perspective will instead you need to add radiographs 100 yuan.

     Beijing chaoyang district second hospital medical center director ZhaoXin said, in practice it really difficult to cancel fluoroscopy, cheap price is the main cause. A X-ray examination at least 100 yuan, and perspective to less than 20 yuan once as long as. "Of course, look from roads, cancel the healthy check-up fluoroscopy project is sooner or later, but in the current also did not make clear a regulation forbids the use of circumstances, there are still hospital will provide perspective service."

    From a professional standpoint GaoPeiYi author puts forward three Suggestions: one is the relevant departments, formulate unified by medical project directory, will the healthy check-up perspective project eliminated, acting with radiographs technology X-ray films; 2 it is enclosed in the medical report photos of medical, prevent impostor; Three is to implement medical results "a single hand", and avoid repetition check-up.