放射性皮肤损伤的诊断和治疗专家共识(2024版)  

Expert consensus on diagnosis and treatment of radiation-induced skin injury(2024 version)

作　　者：中国老年医学学会烧创伤分会 中华医学会组织修复与再生分会 中国康复医学会再生医学与康复专业委员会 中国抗癌协会肿瘤整形外科专业委员会 《中华烧伤与创面修复杂志》编辑委员会 史春梦[2] 周晓[3] 郭光华[4] 王钰 盛小伍[3] 翟浪帆 程飚 周建大[7] Burn and Trauma Branch of Chinese Geriatric Society;Tissue Repair and Regeneration Branch of Chinese Medical Association;Regenerative Medicine and Rehabilitation Professional Committee of Chinese Rehabilitation Medical Association;Tumor Plastic Surgery Professional Committee of Chinese Anti-Cancer Association;Editorial Committee of Chinese Journal of Burns and Wounds;Shi Chunmeng;Zhou Xiao;Guo Guanghua(不详;Institute of Rocket Force Medicine,State Key Laboratory of Trauma and Chemical Poisoning,Army Medical University(the Third Military Medical University),Chongqing 400038,China;Department of Oncoplastic Surgery,Hunan Cancer Hospital,Changsha 410013,China;Medical Center for Burn Plastic Surgery and Wound Repair,First Affiliated Hospital of Nanchang University,Nanchang330006,China)

机构地区：[1]不详 [2]陆军军医大学(第三军医大学)火箭军医学教研室,创伤与化学中毒全国重点实验室,重庆400038 [3]湖南省肿瘤医院肿瘤整形外科,长沙410013 [4]南昌大学第一附属医院烧伤整形与创面修复医学中心,南昌330006 [5]陆军军医大学(第三军医大学)火箭军医学教研室 [6]解放军南部战区总医院整形外科 [7]中南大学湘雅三医院烧伤整形外科

出　　处：《中华烧伤与创面修复杂志》2024年第8期701-712,共12页Chinese Journal of Burns And Wounds

基　　金：国家自然科学基金重点项目(82030056)。

摘　　要：放射性皮肤损伤是皮肤组织受到大剂量电离辐射作用后引起的损伤,是肿瘤局部放射治疗最常见的并发症,在核事故、放射事故和长期职业暴露等条件下也可发生。目前,国内外对于放射性皮肤损伤的诊断尚未统一标准,对其预防和治疗缺乏有效手段,亟待更多循证医学研究探索。结合国内外文献、国家职业卫生标准和现有临床经验,该共识编写组组织国内外相关领域专家,反复研讨制订针对当前放射性皮肤损伤诊断和治疗的专家共识,供临床使用参考。Radiation-induced skin injury refers to damage caused to skin tissue after exposure to large doses of ionizing radiation.It is the most common complication in localized radiation therapy for tumors and can also occur under conditions such as nuclear accident,radiation accident,and long-term occupational exposure.Currently,there is no uniform standard for the diagnosis of radiation-induced skin injury both domestically and internationally,and there is a lack of effective methods for the prevention and treatment,necessitating more evidence-based medical researches to explore.Combining domestic and international literature,national occupational health standards,and existing clinical experience,the consensus writing group organized experts in related fields at home and abroad to repeatedly discuss and formulate an expert consensus for the diagnosis and treatment of radiation-induced skin injury,serving as a reference for clinical use.

关 键 词：辐射 电离 皮肤 溃疡 诊断 治疗 专家共识 

分 类 号：R818.74[医药卫生—放射医学]