| 杨文峰,杨志祥,艾辉胜,等.一例192Ir不均匀外照射多部位放射损伤的临床观察[J].中华放射医学与防护杂志,2003,23(4):284-285.YANG Wenfeng,YANG Zhixiang,AI Huisheng,et al.Clinical observation of a case with multi-part radiation injury caused by nonuniform 192Ir external irradiation[J].Chin J Radiol Med Prot,2003,23(4):284-285 |
| 一例192Ir不均匀外照射多部位放射损伤的临床观察 |
| Clinical observation of a case with multi-part radiation injury caused by nonuniform 192Ir external irradiation |
| 投稿时间：2002-08-22 |
| DOI： |
| 中文关键词: 外照射 192Ir 病例报告 诊断与治疗 功能恢复 |
| 英文关键词:External irradiation 192Ir Case report Diagnosis and treatment Functional recovery |
| 基金项目: |
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| 中文摘要: |
| 目的 对局部放射损伤患者的诊断及治疗方法作进一步的研究。方法 通过对1例192Ir意外照射引起的大面积多发局部放射损伤患者的病情发展过程以及诊断治疗经过进行记录及分析,以及在诊疗过程中进行全身治疗、局部处理以及新疗法的尝试。结果 患者受损伤部位包括双手、双大腿及左胸壁通过治疗,已痊愈。结论 ①本起意外辐射事故为不均匀外照射;②在治疗上采用全身治疗和局部处理相结合。 |
| 英文摘要: |
| Objective To study further the diagnosis and treatment method of severe local radiation injury. Methods To record and analyse the development of the clinic symptom and the therapeutic process of a case with many parts local radiation injury by external γ-irradiation of 192Ir.Systematic treatment, local treatment and new modalities of treatment were applied. Results The damaged parts of the case include both hands and both thighs and left chest wall.The patient has been cured by above-mentioned treatments. Conclusion ①In this case, there are some characteristics:multiple parts of the body are involved with nonuniform radiation.②The treatment scheme includes systematic treatment and local treatment.We have operated twice to repair the wound.During the first operation, stamp skin grafting and allograft skin were used to repair the wound on lift chest wall and both hands.Thanks to ionization radiation the immunological rejection has been weakened.The survival time of homograft skin has been prolonged.③Infra-red image should be used in estimating the scope and degree of radiation injury.④The functional recovery is dependent on the damaged site and severity. |
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