事故性照射人员的临床治疗研究

MEDICAL MANAGEMENT OF PATIENTS OVEREXPOSED TO IRRADIATION IN ACUTE AND SUBACUTE ACCIDENTS

本文总结1986年以来我院收治的7起放射事故共16例的临床诊治研究经过,其中轻、中度骨髓型急性放射病5例,重度亚急性放射病3例,过量照射人员8例。重点对5例急性放射病的临床经过与治疗措施如辐射防治药物、改善微循环措施、胎肝细胞输注、抗感染、抗出血措施的应用进行了探讨;对亚急性放射病的临床过程及大剂量男性素及654-2、胎肝细胞输注等的应用作了重点阐述。对8例过量照射人员的临床表现及处理作了简要描述,并对我院从第一起国内重要核事故以来收治或外出参加救治的事故性急性放射病人的临床治疗研究作了回顾性探讨。

This report summarizes the experiences in the medical management of 7 radiation acci- dents resulting in 5 cases of acute radiation sickness,3 cases of subacute radiation sickness and 8 cases of overexposed persons with estimated physical doses below 1 Gy in the past 5 years.The therapeutic measures including the application of antiradiation drugs such as es- triol and herbal medicine“208”,measures to improve the microcirculation and transfusion of fetal liver cells etc.were emphasized in the treatment of acute radiation sickness. For subacute radiation sickness,large doses of stanozolum (18 mg/d) in combination with 654-2 (60 mg/d) were administered as the principal therapeutic agents.The advances in the medical management of acute accidentally overexposed cases in our country are briefly reviewed and discussed.