The physical examination of the health is perspected few

The physical examination of the health is perspected few
Staff reporter Zhang Hao In entering the physical examination of the duty, X-ray examination is the most common project. Choose, perspect ' The chest fluoro has an X-rayed and checks) Clap block ' The chest X-ray is taken a photograph of) ,Confuse many physical examinations person. 2 weeks are " perspected " In 4 the morning of April 6s, reporters met Xiao Wang who just finished physical examination at the gate of physical examination dept. of Beijing Tongren Hospital. "Yesterday, I thought about the news polluted in Japan's nuclear radiation, some expert said, the intersection of pollution and the intersection of radiation and quantity in Beijing, nuclear radiation of Japan, X-ray perspect odd 1�� checking only. Seem like this, radiation that perspect quantity very non- light. Questions were since 2 weeks, I have already perspected in the physical examination for 4 times, it causes the harmful effects to the health not to notify. " After the physical examination, to perspect health influence brought feels anxious perhaps Xiao Wang. It will be this year that Xiao Wang would graduate university student, 5 companies have had purpose which enroll him already. "At the beginning, I want only need look for a most satisfactory unit and go for physical examination. It is physical examination policies of difference that it is adopted but there are 4 in 5 companies, that is to say that the physical examination will certainly not be enrolled not to go, every individual have to examine and participate in me. " Xiao Wang says, has ever asked the person in charge of recruitment of a unit whether can use X-ray slice that the other hospitals struck by oneself, that person in charge Israel " Can't confirm whether it is my film or not " " the film is apt to play tricks " for sum Provided the answer that is denied. Subsequently, reporters have interviewed 10 and become the job hunters who enter physical examination of the duty in Beijing Tongren Hospital at random, among them there are 3 in physical examination of the near future 2 or more times, and accept to have an X-rayed to check in each physical examination. Physical examination perspect fraud greater than 2010 such as profit, radiation, Center for Disease Prevention and Control of China, protect with the intersection of nuclear safety and medical science according to investigate, write the intersection of " the competence, radiation of China, " and book, have announced the dosage of body surface of average incidence completely of 1254 chests is probably 3.04 fine long hair gray among them, and 1112 cases of flat average dosage of slice in front and back location are only 0.36 fine long hair gray. Should researcher wish Chinese the people explain, these two figures are averages, reach each X-ray examination specifically, also there may bigger discrepancy between its number value and average. Because the instrument and equipment situation, checking the position different from careful intensity that the doctor checks, ray dosage completely of chest two times can differ by dozens of times even hundreds of times. However, perspecting because shine time long, it is unquestionable that its radiation dosage is well-above the ordinary flat dosage of slice, so, perspect the injury to the human body is more bigly than to clap slice. "Have perspected and checked and actually already can be regarded as ' technology of the setting sun ' of dept. of radiology, is being eliminated gradually, a reason is a person who is examined ' eats the line ' more, more important reason is having an X-rayed and is checked and operated the doctor's level to exert a tremendous influence, easier to cause leaking to examine. " The intersection of Beijing and God Temple Hospital radiate head of the department to be high to bank up with earth firm to tell reporter. High to bank up with earth firm to explain, make medical check or prerequisite planned to treat " income " further Be greater than " Pay " . For example, the brain tumour patient accepts the careful radiology inspection before performing a surgical operation, can make the doctor understand the patient's condition even more, bring the improvement of the success rate of operation, this belongs to " The income " Greater than " paying " . However, using in the physical examination can be regarded as " sustain losses in business and buy and sell " while checking to perspect . First of all, those undertake to make people worry in monitoring device situation of smaller hospital of the physical examination task, thyroid gland, gonad of the persons who do not for the physical examination of some hospitals,etc. provide for X-ray sensitive position and protect first to protect, physical examination person " Fragile " The organ is risen by the probability of the ray injury; Secondly, the level of the doctor of dept. of radiology of hospital is different, use and perspect while checking some diseases are often easy to be leaked to examine in early days. "Probably began 5 years ago, some the first, second and third hospitals of Beijing had already cancelled and used and perspected checking in the physical examination, use instead and shoot the flat slice of technology of figures, so can can reduce radiation dosage reduce and leak the examining rate greatly as well as. " Gao PeiYi says. The expert proposes the physical examination cancels perspecting the project Begin, " radiate the regulation of making a diagnosis " by implement 2006 ' Ministry of Public Health makes it No. 46) The 26th requirement, " the medical organization should carry on the analysis of pros and cons to different inspection methods before radiating and diagnosing the inspection, on the premise of guaranteeing to diagnose the result, adopt the diagnosis technology of having a little effect on health preferably " . Require this " the regulation " still, " can't because materials management, the reasons be accepted by shining repeatedly unnecessary personsed who examine to be made changing the place of examination,etc. persons who examine " ," should try hard, photograph, replace the intersection of chest and fluoro, perspect and check with ray, X of chest, " . The reporter knows in the interview, hospitals such as BJ Hospital, Beijing God Temple Hospital,etc. really no longer launch the perspectivity of physical examination and check the project. The reporter is phoned to inquire into the situation of physical examination of the duty by the physical examination department of the hospital of some the first, second and third of Beijing in the capacity of company's personnel staff member, department's staff members of this physical examination tell reporters, it is 130 yuan for each person to enter the physical examination set menu of duty, including projects such as perspecting, liver renal function,etc., among them perspect to be changed into flat slice and need to add more than 100 yuan. The second hospital physical examination centre director Zhao Xin in Chaoyang District of Beijing says, it is really very difficult to perspect and check and cancel in actual operation, it is a main reason that the price is cheap. One X-ray flat for sheet to check, want 100 more than at least, perspect, only fewer than 20 yuan by once. "Certainly, in view of general orientation, it is a thing sooner or later to check the project in perspectivity that is cancelled in the physical examination of the health, but in case of not stipulating clearly yet at present and forbidding using, have hospital that will offer service of perspecting. " Gao PeiYi proposes three suggestions from the specialized angle: First, the related departments make the physical examination project catalogue of the unity, totally eliminate the perspectivity project in the physical examination of the health, instead of X a slice of flat slice of technology; Second, the photo of the persons who enclose the physical examination in the physical examination report, prevent acting as fraudulent substitute for a person; Third, implement the physical examination result " A form is open " ,Avoid repetition physical examination.

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