《内照射放射病诊断标准》解读

Explanation of Diagnostic Criteria for Radiation Sickness from Internal Exposure

《内照射放射病诊断标准》的修订版已由卫生部批准并发布实施，这是在目前严峻的反恐形势下，内照射放射病研究发展的需要。此标准是在广泛调研国内外文献的基础上制定的，筛选出内照射放射病案例共12起（例）、涉及7种放射性核素。此标准主要参考了国际原子能机构和世界卫生组织的《应急响应标准延伸框架的发展：中期评价报告》。此修订版本增加了内照射放射病的效应模型和阈值剂量，附表内容包括放射性核素摄入导致严重确定性效应的阈值剂量、部分放射性核素的放射毒理学参数等，为了更好地理解及执行此标准，并正确地诊断和处理内照射放射病，该文对标准的相关内容进行解读。

A revised edition of the Diagnostic Criteria for Radiation Sickness from Internal Exposure has been approved and issued by the Ministry of Health. It is necessary to research the internal radiation sickness to adapt to the current serious anti-terrorism situation. This standard was enacted based on the ex- tensive research of related literature, from which 12 cases with internal radiation sickness and screened out were involving 7 types of radionuclide. The Development of Emergency Response Standard Extension Framework： Midterm Evaluation Report is the main reference which approved by the International Atomic Energy Agency and World Health Organization. This amendment contains many new provisions such as in- ternal radiation sickness effects models and threshold dose, and the appendix added threshold dose of serious deterministic effects induced by radionuelide intake and radiotoxicology parameters of some radionuclides. In order to understand and implement this standard, and to diagnose and treat the internal radiation sickness correctly, the contents of this standard were interpreted in this article.