论文部分内容阅读
1986年4月26日苏联切尔诺贝利核电站发生了一起严重的事故,使203名工作人员受到0.8～16Gy剂量的照射。其中确诊为Ⅰ度急性骨髓型放射病(0.8～2.1Gy)者105人,Ⅱ度(2.1～4.2Gy)53人,Ⅲ度(4.2～6.3Gy)23人,Ⅳ度(6.3～16Gy)22人。至今已有31例死亡,主要发生于Ⅳ度(21例)及Ⅲ度(7例),多有严重的放烧复合伤及皮肤β放射损伤。本文根据有关资料及与苏联专家交谈所得的信息,就事故受照者的分类诊断、病情特点、观察指标及治疗原则,特别是有关骨髓移植的适应证进行了扼要的介绍,并就今后应注意的问题提出了看法。
On 26 April 1986, a serious accident took place at the Chernobyl nuclear power plant in the Soviet Union, exposing 203 staff members to doses of 0.8-16Gy. Among them, 105 were diagnosed as grade Ⅰ acute myeloid leukemia (0.8-2.1Gy), 53 were grade Ⅱ (2.1-4.2Gy), 23 were grade Ⅲ (4.2-6.3Gy) and 22 were grade Ⅳ (6.3-16Gy) . So far, 31 patients have died, mainly in grade IV (21 cases) and grade III (7 cases), with severe burn-and-burn injuries and skin β-radiation damage. Based on the relevant information and the information we got through conversations with Soviet experts, this article gives a brief introduction to the diagnosis of classification of the accident victims, the characteristics of the disease, the observation indicators and treatment principles, especially the indications for bone marrow transplantation. The issue raised the view.