GBZ 97-2017 职业性放射性肿瘤判断规范.pdf

1、书书书犐犆犛犆G21G22G23G24G25G26G27G27G28G29G2AG2BG2CG2DG2E犌犅犣G21G22G21G22G23G24G25G23G26G27G28G29G2AG2B犑狌犱犵犿犲狀狋狊狋犪狀犱犪狉犱犳狅狉狅犮犮狌狆犪狋犻狅狀犪犾狉犪犱犻狅犵犲狀犻犮狀犲狅狆犾犪狊犿狊G2CG2DG2EG2FG21 G22 G23 G24 G25 G26 G27G27G28G2BG2CG26G2FG30G2CG31G32G33G34G2C G2D书书书G21G22G21G22G23G24G25G23G26G27G28G29G2AG2BG2CG2DG2EG2FG30G31G32G33G3

2、4G35G36G37G38G39G3AG3BG3CG3DG3EG34G35G36G37G38G39G3AG3BG3DG3EG3FG40G41G42（G25G23G26G41G42）G34G35G36G37G43G44G45G46G47G48G2DG38G39G3AG3BG3DG3EG41G42（G25G23G26G41G42）G49G28G41G42G3DG3EG38G39G3AG3BG3CG4AG26G4BG4CG41G42（G25G23G26G41G42）G4DG4EG4FG34G35G36G37G43G44G45G46G47G48G50G51G52G41G42（G25G23G26G41G

3、42）G53G36G54G37G43G44G45G46G47G48G3CG3DG3EG41G42（G25G23G26G41G42）G55G56G35G36G54G37G57G58G59G5AG39G5BG41G42（G25G23G26G41G42）G34G35G36G37G5CG5DG5EG59G5AG39G5BG41G42（G25G23G26G41G42）G49G5FG60G61G60G38G39G3AG3BG3CG62G3EG41G42（G63G64G26G41G42）G34G35G36G37G38G39G3AG3B（犘犆）G3DG3EG65G66犌犅犣G23G24G25G26G27G28

4、G29、G28G29G2AG2BG2C犌G2DG2EG2FG30，G31G32G33G2DG34G35G30G36G37。G67G68G4DG69G4FG6AG6BG2DG4EG6CG6DG38G6EG6FG40G70G2EG71G72G73。G71G72G73G74G56G75G76G3CG25G33G77G78。G71G72G73G79G7AG34G35G26G4BG4CG38G39G30G31G72G73。G7BG45G7C，G7DG7EG7FG2BG80G81G82G83：G72G73G84G85G86G87G88“G6CG6DG26G34G35G26G4BG4CG30G31G25G2

5、3”；G27G28G89G8AG63G64，G7DG7EG8BG8CG71G32G5BG8DG8EG8FG90G91G92G93G94G95G96G97G98（）G99G9A，G9BG9CG9DG37G9EG38G3BG2DG9BG9FGA0G38GA1GA2G3BG51G68，GA3GA4G9DG50GA5G51G68G63G64；G3DG3EGA6GA7G7DG7EGA8G28GA9GAAGABG35GACGADGAEGAFGB0GB1GB2GB3GB4GB5GB6GB7GB8（，）G3CG47G48G62G3EGA6GA7；GB9G4DG53G36G54G37GA6GA7GA8G28G8

6、9GBAG4EG4EGBBGBCGACG97G98GBDG2DG4EGBEGBFG38GC0G6EG7BGC1G70G4DGC2G9BGC3GC4G97G9EG3CGB3GB4（）G3CGC5GC6GA6GA7；GA8G28G4DG4EG4FG4BG4CGC7GC8G9EG38G3BG74G45GC9G2DG45GCAGCBGC4GA6GA7，GCCG8CG71G4FG3CG43G44G45G46G47G48G50G51（犈犚犚）G2DG43G44GCDG46G47G48G50G51（犈犃犚）GCEG81G88G4DG4EG4FG3C犈犚犚；犘犆G3DG3EGCFG28G43G44G45G46

7、G47G48G50G51G3DG3E；GD0G81G3DG3EGD1GD2，GAFG28G4DG4EG4FG4BG4CGD3、G26GD3GD3、GD4G56G9BGD5GD3、G9EG38G9BGD5GD3犈犚犚G9AG52；GA3GA4GD6GAFGD7G50GD8G28G89G9FGA0G38G88GC8G26GD9G3F、G9CG9DG37G88GC8G26GA5GA6GA7，GDAG53G5BG9DG56G35GA4GAEGAFG59G5AGDB；G46G9CG9DG37G27GDCGA3GA4G2DGA3GA4G3BGAEGAFG39G5B（犇犇犚犈犉）GA8G28；GA8G28G

8、A7GDDG51G3CG3FG40GDEG2EG5CG5DG5EG59G5AG39G5B（犜狋），G59G5AG5CG5DG5E；G57G58G59G5AGDFG56。G71G72G73G77G78GE0GE1：G4DG4EGE2GE3GE4GE3GBDG34G35GE2GE3G97G98GE5、GE6GE7GE2GE3GE4GE3GBDGABG35G7BG34G35GE2GE3G97G98GE5、GE6GE7GE2GE3GE4GE3GBDG97G98GACGE8、G4DG4EGBFG38GC0G6EG7BGC1G70G4DGC2GABG35G6EGE9G7BGEAGEBGECGE2GE3GE

9、5、G4DG4EGABG35G6EGE9G97G98GBD。G71G72G73G7DG7EG77G78G4F：GEDGEEGEF、GF0GF1GF2、GF3GF4GF5、GF6GF7GF8、GF9GFAGFA、GFBGFCGFD、GFEGFFG21、G22G23、GFBG24GF5、G25G26G27。G71G72G73GE5G79G7AG72G73G3CG28G29G2AG71G2BG2CG88：；。犌犅犣G38G39G30G3AG3BG30G3CG3DG3EG3FG40G41G41G42G71G72G73G25G2EG89G6CG6DG26G34G35G26G4BG4CG3CG30G31G

10、2DG68G2EGDAG38G39G3AG3BG3DG3EG3CG7FG2BG7EG2F。G71G72G73G30G28G31G6CG6DG56G35G32G9EGACG3CG4BG4CG3CG38G39GE3G30G31。G71G72G73G33G30G28G34G35G36GD4GE2G37G56G35G32G9EGACG3CG4AG26G4BG4CG3CG38G39G30G31。G40G41G30G43G44G45G46G83G9AG29G2AG46G31G71G29G2AG3CGAFG28G8BG38G33G49G39G3C。G3AG8BG3BG8CG5EG3CG27G28G29G2A

11、，G3CG3BG8CG5EG3CG2AG71G30G28G31G71G29G2A。G3AG8BG33G3BG8CG5EG3CG27G28G29G2A，GB9G3DG8AG2AG71（G3EG3FGE5G40G3CG86G87GE0）G30G28G31G71G29G2A。G55G56G35G41G26G34G35G38GA3GA4G62G3EG25G23GEAGE7G42GAFG43G2BG2CG83G44G45GD4G56GA3GA4G62G3EG3CGA6G46G2DGDFG51G47G48G53G5BG9DG49G4FG4AG4BG4CG4DGA4G62G3EG25G23G6CG6DG26

12、G55G56G35G49G4FG4EG4FG25G23G6CG6DG26G50G56G35G49G4FG4EG4FG25G23G6CG6DG26G51G52G34G35G26G53G54G49G4FG4EG4FG25G23G47G48G2AG49G4AG83G9AG2BG2CG2DG2EG2FG30G28G31G71G29G2A。G3AG3BG30G3CG3D狉犪犱犻狅犵犲狀犻犮狀犲狅狆犾犪狊犿G36GD4GA9GAAGABG35G32，G55G56G2EG5CG5DG5EG32G9EGACG3CG7BGE5GD4G56G35G57G40G56G2EGD2G58G38G39GE3GC3G50G

13、3CG4AG26G4BG4C。G4BG4CG4DG4E犪犫狊狅犾狌狋犲狉犻狊犽；犃犚G56G2EGA3GA4G56G35G27G77G3CG59G5AG37G5BG3CG43G44G9EGACG3B，G5CG5DG37G5BG3AG3BG3CG5EGC9G44，G5FGD4G56G35G2DG60GD4G56G35G4FG61G37G5BG9EGACG3BG62G63G64G65G66G51G7BGC0G5EG51G62G63G67G76。G4FG4CG4DG4E狉犲犾犪狋犻狏犲狉犻狊犽；犚犚GD4G56G2DG60GD4G56G4FG61G37G5BG9EGACG3BG62G7CG64G65

14、G66G51G7BGC0G5EG51G62G7C。G85G43G44G45G46G47G48（犈犚犚）。GE0GE1GA3GA4G56G35G27G77G3CG45G46G47G48G5EGC9G44G85G88G43G44G45G46G47G48G58G64G43G44G45G46G47G48G50G51。G50G51G52G53狆狉狅犫犪犫犻犾犻狋狔狅犳犮犪狌狊犪狋犻狅狀；犘犆GE5G9EGACG3CG59G5AG37G5BG77G39G31G68G69GE5GD4G56G35G3CG3AG3B（），G6AG8BG56G2EGA3GA4G56G35G32G37G5BG3AG3BG5EGC9

15、G44G7BG37G5BG6BG3AG3BG62G7C。G54G55G56G57G53犫犪狊犲犾犻狀犲狉犪狋犲G56G6CG4FG61G59G5AG37G5BG3CG34G6DG9EGACG3B，GB9G4DG9CG6EG3EG3FG89G59G6FG32G39，G82G57G58G2DG71G70G56G35GA5G27G77G3CG47G48。犌犅犣G58G59G5AG5BG3BG5CG5DG5EG5FG60G61犲犳犳犲犮狋犮狅狉狉犲犮狋犻狅狀犳狅狉狋犺犲犲狓狆狅狊狌狉犲狅犳狉犪犱狅狀狆狉狅犵犲狀狔G71GDEG53G36G54G37G3CG43G44G45G46G47G48G5AG7C

16、G31G53G4AG4BG4CG4DGA4（犠犔犕）G3CG59G56G72GDDG51，G73G72GDDG51G49G52G65G88犈犚犚犈犚犚犠犔犕犠犔犕。G62G5CG2AG62G5CG53G5DG5EG51G59犱狅狊犲犪狀犱犱狅狊犲狉犪狋犲犲犳犳犲犮狋犻狏犲狀犲狊狊犳犪犮狋狅狉；犇犇犚犈犉G7BG74GA3GA4G2DG74GA3GA4G3BG56G35G45G7CG75，G76G77GA3GA4G2DG77GA3GA4G3BG78GABG35G56G35G3CGACGADGAEGAFG45G46G75G77G3CG39G51。G3EG3FG63G64GD4G56G32，G55G

17、56G2EG5CG5DG5EG32G9EGAC，G79G7AG67G7BG7CG7DG7EG7FG3CG32G9EG26G4AG26G4BG4C。G67G68G80G92G26GD3、GD4G56G78G9BGD5、G9EG38G5CG5DG5EG2DGD4G56GA3GA4，G74GB5G81G3DG3EGE5G80G4AG26G4BG4CG77G39G31GE5GD4G56G35G3CG38G39G3AG3B（犘犆）。G3DG3EGE5G67G49G5FG61G60G3C犘犆G92，G49G30G31G88G6CG6DG26G34G35G26G4BG4C。G3AG3BG65G66G50G5

18、1G52G53G67G68G69G88G3DG3EG38G39G3AG3B（犘犆），G82G28G4FGE0GE1G83G84G83G9AG63G64：）G80G92G3CG85G84、G26GD3、G9BGD5、G37G5BG7FG31（G3EG3FG32G9EGE8GE1G2DG86G87GE3G88GA7）、G37G5BG7FG31G2DG68、G7FG31G8CG5EG2DG7FG31GE0GE1。）G5FG49G4FGA3GA4G89G8AG64G40GD7G8BG8CG8DG67G8EG4FG36GD4G35GC8G3CG5AG88、G56G35G8FG2A、G90G91GD4G5

19、6G78G92G2DG56G35G93G94G78G92，G62G3EG64G95G96GD4G7BG40GD7G56G35G3CG97G98G99G57G9AGA3GA4。GA3GA4G62G3EG3FG40G49GDFG56、G2DG3CG25G2EG9BG9C。）G9DG40G81GE3G36G37GADG9EG6CG6DG26G4CG4DG78，GAFG46G36G37GADG3CG5AG88、G4CG4DG9FGD9G2DG4CG4DG78G92GC9G2EGA0GA1。）G53G5BG9DG3CG49G4FG4AG4BG4CG4DGA4G74G62G3E。G67G68GE5G9AG

20、63G64，G74G56GB5G81G50GA2G3DG3EGE5G80G37G5BG77G39G31G68G69G56G35G3C犘犆GDB。G3AG3BG65G66G50G51G52G53G68G69G6AG6BG34G35G36G37G43G44G45G46G47G48（犈犚犚）G2DG34G35G36G37G38G39G3AG3B（犘犆）G3DG3E，GA3G41G42。G49G28G71G72G73G3DG3EG38G39G3AG3BG3CG4BG4CG84GE0，GA3G41G42。G4DG4EG4FG34G35G36G37G43G44G45G46G47G48G50G51G52，G

21、A3G41G42。G53G36G54G37G43G44G45G46G47G48（犈犚犚）G3CG3DG3E，GA3G41G42。G55G56G35G36G54G37G57G58G59G5AG39G5B，GA3G41G42。G34G35G36G37G5CG5DG5EG59G5AG39G5B，GA3G41G42。G49G5FG60G61G60G38G39G3AG3BG3CG62G3E，GA3G41G42。G34G35G36G37G38G39G3AG3B（犘犆）G3DG3EG65G66，GA3G41G42。犌犅犣G2BG2C犃（G40G41G30G2BG2C）G3AG3BG65G66G6CG6DG4

22、FG4CG4DG4EG2AG50G51G52G53G68G69犃G50G51G52G53（犘犆）G67G68G69G6AG6BG38G39G3AG3B犘犆G52G65G49G4FGE5G80G37G5BG77G39G31G68G69GE5GD4G56G2EGA3GA4G56G35G3CG49GA4G26，G8BG56G2EGA3GA4G56G35G32G37G5BG3AG3BG5EGC9G44G7BG37G5BG6BG3AG3BG62G7C，G28G37G5BG45G46G47G48G5EGC9GDB犈犚犚G3DG3E，GA3G46（）：犘犆犈犚犚犈犚犚（）G46G4D：犘犆G34G35G36

23、G37G38G39G3AG3B；犈犚犚G34G35G36G37G43G44G45G46G47G48。犃G66G6CG6DG4FG4CG4DG4E（犈犚犚）G67G68G69G2AG5FG60犃犈犚犚G3CG3DG3E：犈犚犚G88G97G98G99G57G9AGA3GA4犉（犇）（GE0GE1）GCAG2EG5FG41G42G83G84G3CG4DG4EG4FG4BG4CGD3、G26GD3GD3、GD4G56G9BGD5（GA5，犲）GD3、G9EG38G9BGD5（GA5，犪）GD3犈犚犚GDB。GA3G46（）：犈犚犚犉（犇）犈犚犚（）G46G4D：犈犚犚G34G35G36G37G43G

24、44G45G46G47G48；犉（犇）GA3GA4GDDG51，犇G88G97G98G99G57G9AGA3GA4。G46G9CG9DG37犉（犇）犇；G46G9FGA0G38犉（犇）犇（犇）；犈犚犚GE0GE1GA3GA4（GA6GA7GA8）G43G44G45G46G47G48。犃GA9G29G56G35犈犚犚G3CG3DG3E：GAAG36GD4GA9G29G56G35G78，G82G36GD4GA3GA4GABGD3G88犇G2D犇G3CGACG29G56G35G78，G28G45GADGAEG28G3CG45GC9GA6GA7，GB9GC4G3DG3CG45G46G47G48G5EG

25、C9G88GAFG34G45G46G47G48G62G2D，GA3G46（）：犈犚犚（犇，犇）犈犚犚（犇）犈犚犚（犇）（）G46G4D：犈犚犚（犇，犇）G36GD4GA3GA4GABGD3G88犇G2D犇GACG29G56G35G78G3CG43G44G45G46G47G48；犈犚犚（犇）G36GD4GA3GA4G88犇G56G29G56G35G78G3CG43G44G45G46G47G48；犈犚犚（犇）G36GD4GA3GA4G88犇G56G29G56G35G78G3CG43G44G45G46G47G48。犃GB0GC4G56G35犈犚犚G3CG3DG3E：GAAG36GD4GA3GA4G8

26、8犇，GB0GC4G81GE3G39G5B犣G78，GB1G74G45GC9GA6GA7G3DG3E犈犚犚GC4G3DGDB，GA3G46（）：犈犚犚（犇，犣）犈犚犚（犇）犈犚犚（犣）（）G46G4D：犈犚犚（犇，犣）G36GD4GA3GA4G88犇，GB0GC4G81GE3G39G5B犣G78G3CG43G44G45G46G47G48；犈犚犚（犇）G36GD4GA3GA4G88犇G78G3CG43G44G45G46G47G48；犈犚犚（犣）G36GD4G81GE3G39G5B犣G78G3CG43G44G45G46G47G48。犃G5CG5DG5EG59G5A：G46G5CG5DG5EG50G

27、9EGACG3CG4BG4C犈犚犚GB2G9CG5CG5DG5EG59G5A。G39G33GB3G37G5BG3CG5CG5DG5EG33GB3，G82G28G33GB3G5CG5DG5EG59G5AG39G5B（犜狋）G59G5A（GA3G41G42犇），G5CG5DG5E（狋）G9EG38G9BGD5（犪）GD4G56G9BGD5（犲），GA3G46（）：犈犚犚犜G59G5A犉（犇）犈犚犚犜狋（）犌犅犣G46G4D：犈犚犚犜G59G5AG5CG5DG5EG59G5AG32G3CG43G44G45G46G47G48；犉（犇）GA3GA4GDDG51；犈犚犚GE0GE1GA3GA4G3CG43

28、G44G45G46G47G48；犜狋G5CG5DG5EG59G5AG39G5B。犃G57G58G3CG59G5A：G55G56G35G36G54G37GB4G82G46G57G58G28G57G58G59G5AG39G5B（犠）GB2G9CG59G5A，GA3G46（）：犈犚犚犜狑G59G5A犉（犇）犈犚犚犜狋犠（）G46G4D：犈犚犚犜狑G59G5AG57G58G59G5AG32G3CG43G44G45G46G47G48G50G51；犉（犇）GA3GA4GDDG51；犈犚犚GE0GE1GA3GA4G3CG43G44G45G46G47G48；犜狋G5CG5DG5EG59G5AG39G5B；犠G

29、57G58G59G5AG39G5B。犃G6CG6DG56G35犈犚犚G3DG3E：G76G3DG3E犈犚犚G78，GF2GB5GA6G9BG36GD4G3CG4AG3DGA3GA4GB6G88G56G29G56G35，G74G9BGB7G9BG3DG3E，G2FG67GA6G9BG3C犈犚犚GDB，GB8GB5G28G9BG67G7BG3C犈犚犚GDBG45GC9，G67G7BGC4G3D犈犚犚，GA3G46（）：犈犚犚GC4G3D犈犚犚GB5G9B犈犚犚GB5G9B犈犚犚GB5G9B犈犚犚GB5狀G9B（）G46G4D：犈犚犚GC4G3DG28G9BG43G44G45G46G47G48GDB

30、G3CGC4G3DGDB；犈犚犚GB5G9BGB5G56G9BG43G44G45G46G47G48GDB；犈犚犚GB5G9BGB5GB6G9BG43G44G45G46G47G48GDB；犈犚犚GB5G9BGB5GB9G9BG43G44G45G46G47G48GDB；犈犚犚GB5狀G9BGB5狀G9BG43G44G45G46G47G48GDB。犃犇犇犚犈犉G59G5A：GBAGBBG7BG6CG6DG56G35GA9G88G77G41G26G24GA3GA4G56G35（G9BG4AG4BGA3GA4），G42GB4G82G55犇犇犚犈犉G59G5A（犇犇犚犈犉），GA3G46（）：犈犚犚GC4

31、G3DG59G5A犈犚犚GC4G3D犇犇犚犈犉（）G46G4D：犈犚犚GC4G3DG59G5AG55GA3GA4G7BGA3GA4GAEGAFG39G5BG59G5AG32G3CG43G44G45G46G47G48；犈犚犚GC4G3DGB7G9BG4AGC9G32G3CG43G44G45G46G47G48GDB；犇犇犚犈犉GA3GA4G2DGA3GA4G3BGAEGAFG39G5B，G3CG28G31G9CG9DG37，G9FGA0G38G33G28G73GDFG51G59G5A。犌犅犣G2BG2C犅（G40G41G30G2BG2C）G6EG44G2BG2C犆G68G69G50G51G52G5

32、3G67G6FG30G3CG3DG49G28G41G42G9AG52GDFG51G3DG3EG38G39G3AG3BG3CG4BG4CG84GE0GA3G52。G70犅G6EG44G2BG2C犆G68G69G50G51G52G53G67G6FG30G3CG3DG37G5BG88GA7G7DGBCGBDGBEG37（）GBFG37（）GC0GC1G37（）GC2G37（）G55G56G35G36G54G37（）GC3G2DGD7GC4G4AG26G4BG4C（）GC5G26GC6GC7G37（）GC8GC9G37（）GCAGCBGC7G37（）GCCG89G41G26GCDGCEG86G87G9

33、FGA0G38G2EG55G3CGE5G40G88GA7G9FGA0G38（，）（GCCG55）G4EG50GCFG9CG40G2EGA8G28G3CG4EG6EGBFG38GABG88G40（G2AG71）。犌犅犣G2BG2C犆（G40G41G30G2BG2C）G71G72G73G3AG3BG65G66G6CG6DG4FG4CG4DG4EG74G75G70犆G76G77G66G78犈犚犚G74G75G70G21G2CG4DG4EG4FG34G35G36G37G43G44G45G46G47G48G50G51G52GD0G42GA3G52。G70犆G71G72G73G3AG3BG65G66G6C

34、G6DG4FG4CG4DG4EG74G75G70G21G2CG52GD1 G52GD2 GD3GBCG52GD4G26GBFG37犈犚犚GDBG52GD4G26GC0GC1G37犈犚犚GDBG52GD4G26GC2G37犈犚犚GDBG52GD4G26G55G56G35G36G54G37犈犚犚GDBG52GD4G26GC8GC9G37犈犚犚GDBG52GD4G26GBDGBEG37、GC3G2DGD7GC4G4AG26G4BG4C犈犚犚GDBG52GC5G26GBFG37犈犚犚GDBG52GC5G26GC0GC1G37犈犚犚GDBG52GC5G26GC2G37犈犚犚GDBG52GC5G26G55

35、G56G35G36G54G37犈犚犚GDBG52GC5G26GC8GC9G37犈犚犚GDBG52GC5G26GBDGBEG37、GC3G2DGD7GC4G4AG26G4BG4C犈犚犚GDBG52GC5G26GC6GC7G37犈犚犚GDBG52GCAGCBGC7G37犈犚犚GDBG52GD4G26GCCG41GCDG2EG55G9FGA0G38犈犚犚GDBG52GC5G26GCCG41GCDG2EG55G9FGA0G38犈犚犚GDB犆G79G30G7AG5AG66G6CG6DG4DG4EG74G75GD4G26GD5G5AG9CG9DG37G3CG43G44G47G48G50G51GDBGA3G52G52。G70犆G79G30G7BG66犈犚犚犌狔G61GD4G56G9BGD5（犲）GA5G80G37G9BGD5（犲狋）GA5犌犅犣G70犆（G94）GD4G56G9BGD5（犲）GA5G80G37G9BGD5（犲狋）GA5GD4G56G9BGD5（犲）GA5G80G37G9BGD5（犲狋）GA5GD4G56G9BGD5（犲）GA5G80G37G9BGD5（犲狋）GA5犌犅犣G70犆（G94）GD4G56G9BGD5（犲）GA5G80G37G9BGD5（犲狋）GA5