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ICS13.100
60
中華人民共和國(guó)國(guó)家職業(yè)衛(wèi)生標(biāo)準(zhǔn)
放射性腫瘤判斷標(biāo)準(zhǔn)
criteria
neoplasms
中華人民共和國(guó)衛(wèi)生部 發(fā)布
2002前言
GB16386
2002放射性腫瘤診斷標(biāo)準(zhǔn) 判斷依據(jù)
(probability
of
causation
50 照射誘發(fā)惡性腫瘤病因概率的計(jì)算
2002
職業(yè)性放射性腫瘤的判斷
放射性腫瘤的處理原則
2002 病因概率的計(jì)算方法，計(jì)算參數(shù)和計(jì)算例
病因概率的計(jì)算方法
(1+R) 1)
cGy(rad)
170WL3.5hm例如礦井下的γ線照射，可按
1WLM把低照射劑量轉(zhuǎn)換為后與氡子體累積相加，按合計(jì)：為潛伏期校正系數(shù)，是受照經(jīng)年后被診斷的可能性。對(duì)肺癌、甲狀腺癌和乳
0;
年以上時(shí)為。慢性粒細(xì)胞白血病的
給出。急性白血病的值與受照年齡T(A
給出甲狀腺癌和乳腺癌于被診斷時(shí)的年齡，要從公式算出。E(A是性別
射時(shí)的癌癥增加概率；I(A在被診斷年齡時(shí)該癌癥的基線發(fā)生率。E(AS)I(A
A2.3
接受多次，例如兩次劑量為的照射時(shí)使用相互作用的相加模型，其合計(jì)相對(duì)危險(xiǎn)增1,D212
的計(jì)算也采用這種方法：以年為單位，按每年接受相當(dāng)于年累200.028
0.037
0.018
637210.024
0.033
0.016
764220.02l
0.028
0.015
101230.018
0.025
0.013
688240.015
0.021
0.012
556250.013
0.018
0.011
748260.012
0.0l7
0.01l
219270.012
0.016
0.010
862280.012
0.016
0.010
634290.012
0.016
0.010
498300.0l1
0.016
0.010
4283l0.011
0.0l7
0.010
392320.011
0.017
0.010
350330.0ll
0.017
0.010
270340.01l
0.017
0.010
107350.01l
0.017
0.009
833360.010
0.017
0.009
370370.010
0.017
0.008
702380.010
0.017
0.007
885390.010
0.017
0.006
977400.010
0.017
0.006
0354l0.009
920.017
0.005
110420.009
810.017
0.004
261430.009
710.017
0.003
545440.009
610.017
0.003
023450.009
490.017
0.002
766460.009
350.0l7
0.002
664470.009
190.017
0.002
562
）】
2002
(1)
．．．．．．．．．．．．．．．．．．．．．．．．．．
(1)
計(jì)算病因概率的參數(shù)和計(jì)算例
S)480.009
020.017
0.002
461490.008
840.017
0.002
37050
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
F(D)T(Y)K(A
），
F(D)=F(25) T(Y)=T(8)=0.741
A1),S)=K(25,
0.013
9=0.26
T(Y),E(A,S),I(A
）】T(Y)E(A,S)I(A200.9720.619200.3070.178210.9700.618210.3520.1770.014
60220.9710.619220.4000.2000.038
40230.9740.621230.4770.2400.046
10240.9800.625240.5920.2800.047
20250.9870.630250.7190.3200.045
60260.9970.636260.8310.3630.043
10271.0100.644270.9000.4000.040
20281.0200.653280.9100.4400.037
40291.0300.661290.8780.480100.034
70301.0500.669300.8320.5200.032
20311.0600.677310.7970.560120.029
80321.0700.685320.8000.600130.027
70331.0800.684330.8380.640140.025
80341.0900.702340.8840.680150.024
0035350.9310.720160.022
40361.1200.721360.9720.760170.020
90371.1300.731371.0000.800180.019
60381.1500.742381.0200.840190.018
40391.1700.754391.0400.880200.017
20401.1900.767401.0600.920210.016
20411.2100.781411.0800.960220.015
20421.2300.795421.1001.000230.014
40431.250431.1201.010240.013
60441.2700.827441.1400.969250.012
80451.3000.844451.1600.918260.012
10461.3200.861461.1800.88527
50471.3500.879471.2000.900280.010
90481.3800.897481.2600.983290.010
30491.4100.915491.370300.009
82501.4300.934501.5301.260310.009
34511.4600.953511.7101.400320.008
89521.4900.972521.9001.500330.008
47531.5200.991532.1001.570340.008
08541.5501.010542.3101.620350.007
71551.5801.030552.5301.670360.007
36561.6101.050562.7601.730370.007
04571.6401.070573.0101.800380.006
73581.6701.090583.2801.900390.006
44591.700593.5602.020400.006
45601.7301.120603.8502.130
2002
F(D)=F(10)=10+10
T(Y)=T(15)=0.024(
A2)E(AA2)I(A,S)=I(45,m)=1.16(A2)0.905=0.2360.005
660.005
020.004
430.003
890.003
400.002
950.002
550.002
190.001
870.0041
0.038
0.035
0.031
0.029
0.026
0.023
0.021
0.018
0.0073
0.069
0.065
0.061
0.057
0.053
0.029
0.045
0.041
0.0087
0.083
0.079
0.076
0.072
0.068
0.064
0.060
0.056
0.0087
0.085
0.082
0.079
0.077
0.073
0.070
0.067
0.064
0.0082
0.080
0.079
0.077
0.075
0.073
0.071
0.068
0.066
0.0074
0.073
0.072
0.071
0.070
0.069
0.067
0.066
0.064
0.0066
0.068
0.065
0.065
0.064
0.063
0.063
0.062
0.060
100.0057
0.058
0.058
0.058
0.058
0.057
0.057
0.057
0.056
0.0050
0.050
0.051
0.051
0.051
0.052
0.052
0.052
0.051
120.0043
0.044
0.045
0.045
0.046
0.046
0.046
0.047
0.047
130.0038
0.038
0.039
0.040
0.040
0.041
0.041
0.042
0.042
140.0033
0.033
0.034
0.035
0.036
0.036
0.037
0.038
0.038
150.0028
0.029
0.030
0.031
0.032
0.032
0.033
0.034
0.034
160.0025
0.025
0.026
0.027
0.028
0.029
0.029
0.030
0.031
170.0021
0.022
0.023
0.024
0.025
0.025
0.026
0.027
0.028
180.0019
0.020
0.020
0.021
0.022
0.023
0.023
0.024
0.025
190.0016
0.017
0.018
0.091
0.019
0.020
0.021
0.022
0.022
200.0014
0.015
0.016
0.016
0.017
0.018
0.019
0.019
0.020
210.0031
0.013
0.014
0.015
0.015
0.016
0.017
0.019
0.018
22
0.012
0.012
0.013
0.014
0.014
0.015
0.016
0.016
230.0010
0.010
0.012
0.012
0.013
0.013
0.014
0.015
240.0009
100.009
610.010
0.010
0.012
0.013
0.013
250.0008
100.008
570.009
070.009
590.010
0.010
0.012
260.0007
220.007
660.008
120.008
610.009
120.009
670.010
0.010
270.0006
450.006
860.007
290.007
740.008
220.008
730.009
260.009
820.010
280.0005
780.006
150.006
550.006
980.007
430.007
900.008
400.008
930.009
48290.0005
180.005
530.005
900.006
300.006
720.007
160.007
630.008
130.008
65300.0004
660.004
980.005
320.005
690.006
080.006
500.006
940.007
410.007
90310.0004
200.004
490.004
810.005
150.005
520.005
910.006
320.006
760.007
23320.0003
790.006
090.004
360.004
670.005
010.005
380.005
770.006
180.006
62330.0003
420.003
670.003
950.004
240.004
560.004
900.002
570.005
660.006
07340.0003
100.003
330.003
590.003
860.004
160.004
480.004
820.005
180.005
57350.0002
810.003
020.003
260.003
520.003
790.004
090.004
410.004
760.005
12360.0002
550.002
750.002
970.003
210.003
470.003
740.004
040.004
370.005
71370.0002
320.002
500.002
710.002
930.003
170.003
430.003
710.004
020.004
34380.0002
0.002
280.002
470.002
680.002
900.003
150.003
410.003
700.004
00390.0001
920.002
090.002
260.002
450.002
660.002
890.003
140.003
410.003
70400.0001
760.001
910.002
070.002250.002
450.002
660.002
890.003
140.003
42410.0001
610.001
750.001
900.002
070.002
250.002
450.002
670.002
900.003
16420.0001
470.001
600.001
740.001
900.002
070.002
260.002
460.002
680.002
93430.0001
350.001
470.001
600.001
750.001
910.002
080.002
270.002
480.002
71440.0001
240.001
350.001
470.001
610.001
760.001
920.002
100.002
300.002
52450.0001
140.001
240.001
360.001
480.001
620.001
780.001
950.002
130.002
34460.0001
040.001
140.001
250.001
370.001
500.001
650.001
810.001
980.002
17470.0000
9620.001
050.001
150.001
270.001
390.001
520.001
670.001
840.002
02480.0000
8870.000
9720.001
070.001
170.001
290.001
410.001
550.001
710.001
88490.0000
8180.000
8980.000
9860.001
080.001
190.001
310.001
440.001
590.001
75
2002
0.001
580.001330.001
0.0009250.0007630.0006250.0005080.0004090.0003270.016
0.014
0.012
0.009
680.008
330.007
0.006
040.005
090.016
0.034
0.031
0.027
0.024
0.022
0.019
0.017
0.015
0.037
0.049
0.045
0.041
0.038
0.034
0.031
0.028
0.025
0.052
0.057
0.053
0.050
0.046
0.043
0.039
0.026
0.033
0.060
0.060
0.057
0.054
0.051
0.048
0.045
0.042
0.038
0.063
0.060
0.058
0.055
0.053
0.050
0.047
0.045
0.042
0.062
0.058
0.056
0.054
0.052
0.050
0.048
0.046
0.043
100.059
0.054
0.053
0.052
0.050
0.049
0.047
0.045
0.043
0.055
0.050
0.050
0.049
0.048
0.047
0.046
0.044
0.043
120.051
0.046
0.046
0.046
0.045
0.044
0.044
0.043
0.041
130.047
0.043
0.043
0.042
0.042
0.042
0.041
0.040
0.040
140.042
0.039
0.039
0.039
0.039
0.039
0.039
0.038
0.038
150.039
0.035
0.036
0.036
0.036
0.036
0.036
0.036
0.036
160.035
0.035
0.033
0.033
0.033
0.034
0.034
0.034
0.034
170.031
0.029
0.030
0.030
0.031
0.031
0.031
0.031
0.031
180.028
0.026
0.027
0.028
0.028
0.029
0.029
0.029
0.029
190.016
0.024
0.025
0.025
0.026
0.026
0.027
0.027
0.028
200.023
0.022
0.022
0.023
0.024
0.024
0.025
0.025
0.026
210.021
0.020
0.020
0.021
0.022
0.022
0.023
0.024
0.024
220.019
0.018
0.019
0.019
0.020
0.021
0.021
0.022
0.022
230.017
0.016
0.017
0.018
0.018
0.019
0.020
0.020
0.021
240.016
0.015
0.015
0.016
0.017
0.018
0.018
0.019
0.019
250.014
0.013
0.014
0.015
0.015
0.016
0.017
0.017
0.018
260.013
0.012
0.013
0.014
0.014
0.015
0.016
0.016
0.017
270.012
0.012
0.012
0.013
0.014
0.014
0.015
0.016
28
0.010
0.012
0.013
0.013
0.014
0.015
290.010
0.009
760.010
0.010
0.012
0.012
0.013
0.014
300.009
190.008
960.009
520.001
010.010
0.012
0.013
310.008
420.008
230.008
760.009
320.009
890.010
0.012
320.007
720.007
570.008
080.008
610.009
160.009
730.010
0.010
330.007
080.006
970.007
460.007
960.008
490.009
040.009
600.010
0.010
340.006
510.006
430.006
890.007
370.007
880.008
400.008
940.009
500.010
350.005
080.005
930.006
370.006
830.007
310.007
820.008
340.008
880.009
43360.005
080.005
480.005
890.006
330.006
800.007
280.007
780.008
310.008
84370.004
690.005
060.005
460.005
880.006
320.006
790.007
270.007
770.008
29380.004
330.004
690.005
060.005
460.005
880.006
330.006
790.007
280.007
78390.004
010.004
340.004
700.005
080.005
480.005
910.006
350.006
820.007
31400.003
710.004
030.004
360.004
730.005
0.005
520.005
950.006
400.006
86410.003
440.003
740.004
060.004
400.004
770.005
160.005
570.006
000.006
45420.003
190.003
470.003
770.004
100.004
450.004
820.005
220.005
630.006
07430.002
960.003
230.003
520.003
830.004
160.004
520.004
890.005
290.005
71440.002
750.003
000.003
280.003
570.003
890.004
230.004
590.004
970.005
38450.002
560.002
800.003
060.003
340.003
640.003
960.004
310.004
680.005
07460.002
380.002
610.002
850.003
120.003
410.003
720.004
050.004
400.004
78470.002
220.002
430.002
660.002
920.003
190.003
490.003
810.004
150.004
51480.002
070.002
270.002
490.002
730.002
990.003
280.003
580.003
910.004
25490.001
930.002
120.002
330.002
560.002
810.003
080.003
370.003
680.004
02
20020.000
2600.000
2040.000
1590.000
1230.000
0940.000
0710.000
0530.000
0400.0000
2960.004
260.003
540.002
910.002
380.001
930.001
560.001
240.009
810.007
690.031
0.009
570.008
130.006
850.005
720.004
750.003
900.003
180.022
0.019
0.017
0.015
0.013
0.009
620.008
140.006
830.030
0.027
0.024
0.021
0.019
0.016
0.014
0.012
0.010
0.035
0.032
0.029
0.026
0.024
0.021
0.019
0.016
0.014
0.039
0.036
0.033
0.030
0.028
0.025
0.022
0.020
0.018
0.041
0.038
0.036
0.033
0.030
0.028
0.025
0.023
0.020
100.041
0.039
0.037
0.034
0.032
0.030
0.027
0.025
0.023
0.041
0.039
0.037
0.025
0.033
0.031
0.029
0.026
0.024
120.040
0.038
0.037
0.035
0.033
0.031
0.029
0.027
0.025
130.039
0.037
0.036
0.035
0.033
0.031
0.030
0.028
0.026
140.037
0.036
0.035
0.034
0.033
0.031
0.030
0.028
0.026
150.035
0.035
0.034
0.033
0.032
0.031
0.029
0.028
0.026
160.033
0.033
0.032
0.032
0.031
0.030
0.029
0.028
0.026
170.031
0.031
0.031
0.030
0.030
0.029
0.028
0.027
0.026
180.030
0.029
0.029
0.039
0.029
0.028
0.027
0.026
0.025
190.028
0.028
0.028
0.028
0.027
0.027
0.026
0.026
0.025
200.026
0.026
0.026
0.026
0.026
0.026
0.025
0.025
0.024
210.024
0.025
0.025
0.025
0.025
0.025
0.024
0.024
0.024
220.023
0.026
0.023
0.024
0.024
0.024
0.023
0.023
0.023
230.021
0.022
0.022
0.022
0.023
0.023
0.023
0.022
0.022
240.020
0.020
0.021
0.021
0.021
0.022
0.022
0.021
0.021
250.019
0.019
0.020
0.020
0.020
0.020
0.021
0.021
0.021
260.017
0.018
0.019
0.019
0.019
0.019
0.020
0.020
0.020
270.016
0.017
0.017
0.018
0.018
0.019
0.019
0.019
0.019
280.015
0.016
0.016
0.017
0.017
0.018
0.018
0.018
0.018
290.014
0.015
0.015
0.016
0.016
0.017
0.017
0.017
0.019
300.013
0.014
0.014
0.015
0.015
0.016
0.016
0.017
0.017
310.012
0.013
0.014
0.014
0.015
0.015
0.015
0.016
0.016
320.012
0.012
0.013
0.013
0.014
0.014
0.015
0.015
0.015
33
0.012
0.013
0.013
0.014
0.014
0.014
0.015
340.010
0.012
0.012
0.013
0.013
0.014
0.014
350.009
990.010
0.012
0.012
0.013
0.013
0.013
360.009
380.009
030.010
0.012
0.012
0.013
0.013
370.008
820.009
360.009
900.010
0.012
0.012
380.008
290.008
820.009
350.009
880.010
0.010
0.012
390.007
810.008
320.008
830.009
350.009
870.010
0.010
400.007
350.007
850.008
350.008
860.009
370.009
880.010
0.010
410.006
920.007
410.007
900.008
400.008
900.009
400.009
890.010
0.010
420.006
520.006
990.007
480.007
970.008
460.008
950.009
440.009
910.010
430.006
150.006
610.007
080.007
560.008
040.008
530.009
010.009
480.009
93440.005
800.006
240.006
700.007
170.007
650.008
120.008
600.009
070.009
52450.008
480.005
910.006
350.006
810.007
270.007
740.008
210.008
680.009
13460.005
170.005
590.006
020.006
460.006
920.007
380.007
850.008
310.008
76470.004
890.005
290.005
710.006
140.006
580.007
040.007
500.007
950.008
40480.004
620.005
010.005
410.005
830.006
270.006
710.007
160.007
610.008
06490.004
370.004
740.005
140.005
550.005
970.006
410.006
850.007
290.007
73
20020.000
02160.000
015
0.000
0.000
007
0.000
005
0.000
003
0.000
002
0.000
001
0.000
001
0.000
5970.000
4590.000
3490.000
2630.000
1960.000
1450.000
1060.0000720.000
054
0.002
570.002
060.001
640.001
290.001
000.000
7710.000
5880.0004430.000
3310.002
690.004
690.003
840.003
0.002
500.001
990.001
560.001
220.009
390.009
260.007
820.006
540.005
430.004
470.003
640.002
930.002
340.001
850.062
0.009
360.007
920.006
640.005
520.004
540.002
700.002
980.015
0.013
0.021
0.010
0.008
820.007
450.006
230.005
170.004
240.018
0.016
0.014
0.012
0.010
0.009
310.007
910.006
650.005
54100.020
0.018
0.016
0.014
0.012
0.009
490.008
080.006
820.022
0.020
0.018
0.016
0.014
0.012
0.010
0.009
420.008
04120.023
0.021
0.019
0.017
0.015
0.013
0.012
0.010
0.009
18130.024
0.022
0.020
0.018
0.016
0.015
0.013
0.010
140.025
0.023
0.021
0.019
0.017
0.016
0.014
0.012
150.025
0.023
0.021
0.020
0.018
0.016
0.015
0.013
0.012
160.025
0.023
0.022
0.020
0.019
0.017
0.015
0.014
0.012
170.025
0.023
0.022
0.020
0.019
0.017
0.016
0.014
0.013
180.024
0.023
0.022
0.021
0.019
0.018
0.016
0.015
0.013
190.024
0.023
0.022
0.021
0.019
0.018
0.017
0.015
0.014
200.023
0.023
0.022
0.020
0.019
0.018
0.017
0.015
0.014
210.023
0.022
0.021
0.020
0.019
0.018
0.017
0.016
0.014
220.022
0.022
0.021
0.020
0.019
0.018
0.017
0.016
0.014
230.022
0.021
0.020
0.020
0.019
0.018
0.017
0.016
0.015
240.021
0.021
0.020
0.019
0.019
0.018
0.017
0.016
0.015
250.020
0.020
0.020
0.019
0.018
0.018
0.017
0.016
0.015
260.020
0.019
0.019
0.019
0.018
0.017
0.017
0.016
0.015
270.019
0.019
0.018
0.018
0.018
0.017
0.016
0.016
0.015
280.018
0.018
0.018
0.018
0.017
0.017
0.016
0.015
0.015
290.018
0.018
0.017
0.017
0.017
0.016
0.016
0.015
0.014
300.017
0.017
0.017
0.017
0.016
0.016
0.016
0.015
0.014
310.016
0.016
0.016
0.016
0.016
0.016
0.015
0.015
0.014
320.016
0.016
0.016
0.016
0.016
0.015
0.015
0.015
0.014
330.015
0.015
0.015
0.015
0.015
0.015
0.015
0.014
0.014
340.014
0.015
0.015
0.015
0.015
0.015
0.014
0.014
0.014
350.014
0.014
0.014
0.014
0.014
0.014
0.014
0.014
0.013
360.013
0.014
0.014
0.014
0.014
0.014
0.014
0.013
0.013
370.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
380.012
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
390.012
0.012
0.012
0.013
0.013
0.013
0.013
0.013
0.012
40
0.012
0.012
0.012
0.012
0.012
0.022
0.012
0.012
41
0.012
0.012
0.012
0.012
0.012
0.012
420.010
0.020
0.012
0.012
0.012
0.012
430.010
0.010
440.099
0.010
0.010
450.009
560.009
970.010
0.010
0.010
460.009
190.009
600.009
970.010
0.010
0.010
470.008
830.009
240.009
630.009
970.010
0.010
0.010
0.010
0.010
480.008
490.008
900.009
290.009
650.009
960.010
0.010
0.010
0.010
490.008
160.008
580.008
970.009
330.009
650.009
930.010
0.010
0.010
2002
的參數(shù)E(A，S)，I(A
,S201.430.914201.991.33211.430.912211.841.38221.430.914221.801.40231.440.919231.841.40241.450.927241.881.40251.470.939251.921.40261.500.955261.961.40271.530.975272.001.40281.560.998282.041.40291.
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