陈英,刘秀林,张学清,等.哈尔滨辐射事故受照者生物剂量估计和远后效应评价[J].中华放射医学与防护杂志,2006,26(2):125-128.CHEN Ying,LIU Xiu-lin,ZHANG Xue-qing,et al.Biological dose estimation and late effect evaluation of the exposed persons in Harbin radiation accident[J].Chin J Radiol Med Prot,2006,26(2):125-128
哈尔滨辐射事故受照者生物剂量估计和远后效应评价
Biological dose estimation and late effect evaluation of the exposed persons in Harbin radiation accident
投稿时间:2006-01-08  
DOI:
中文关键词:  迁延照射  双着丝粒体+环  稳定性畸变  生物剂量  远后效应
英文关键词:Protracted irradiation  Dic+r  Stable aberrations  Biological dose  Late effect
基金项目:
作者单位E-mail
陈英 100850 北京, 军事医学科学院放射与辐射医学研究所 yingchen29@ywhoo.com.cn 
刘秀林 100850 北京, 军事医学科学院放射与辐射医学研究所  
张学清 100850 北京, 军事医学科学院放射与辐射医学研究所  
骆亿生 100850 北京, 军事医学科学院放射与辐射医学研究所  
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中文摘要:
      目的 对2005年哈尔滨192Ir放射源迁延照射事故2名主要受照者的累积剂量进行生物剂量估算,对该起事故的损伤预后给予评价。方法 制备常规染色体标本、松胞素微核标本和G显带核型分析标本。用已建立的染色体双+环和微核剂量效应曲线估算全身受照剂量;用自行研制的染色体核型分析软件观察稳定性畸变,进行剂量重建。结果 两名受照者H、J的双+环畸变率分别为23.5%和6.6%;微核率分别为320‰和81‰。用双+环和微核剂量效应曲线估算剂量,相当于一次全身均匀照射H约为1.6~2.2Gy、J约为0.7~0.8Gy。G带核型分析显示,H的稳定性畸变率高达40%,且出现多畸变细胞;J的稳定性畸变率为6%。用稳定性畸变估算累积受照剂量较双+环剂量略高。结论 两名事故受照者均受到不同程度的全身均匀照射。累积剂量H在中度以上骨髓型放射病水平,J接近轻度骨髓型放射病水平。对2名受照者尤其是H的预后应给予密切关注。
英文摘要:
      Objective To estimate cumulative exposure doses and evaluate late effects for 2 heavilly exposed persons of Harbin 192Ir protracted irradiated accident in 2005. Methods Conventional chromosome, Cyt-B micronucleus and G-banding specimens were prepared and the biological doses of 2 victims were estimated with dose-response curves of dicentrics+rings and micronuclei. Stable chromosome aberrations were analyzed by AMMS-I karyotype auto-analysis system for dose reconstruction. Results The frequencies of dic+r and MN in the victim H were 23.5% and 320‰ respectively, in J victim 6.6% and 81‰ respectively. Bio-doses of the victim H and J are equivalent to 1.6-2.2Gy and 0.7-0.8 Gy single uniform whole body exposure. The results of G-band karyotype analysis indicate stable aberration frequency was 40% for victim H with some complicated aberrations, and 6% for victim J. Cumulative exposure doses estimated by stable aberrations were a little higher than dic+r. Conclusion Two victims were exposed to relatively uniform whole body irradiation. The cumulative doses of victims H and J have reached medium or slight degree ARS levels, respectively. They should be followed up closely.
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