JIANG Enhai,JIANG Bo,CHEN Ziqi,et al.Clinical report of three cases of acute radiation sickness from a 60Co radiation source accident in Henan Province[J].Chinese Journal of Radiological Medicine and Protection,2001,21(3):168-171 |
Clinical report of three cases of acute radiation sickness from a 60Co radiation source accident in Henan Province |
Received:February 12, 2001 |
DOI: |
KeyWords:Acute radiation sickness Radiation accident GM-CSF |
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Author Name | Affiliation | JIANG Enhai | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | JIANG Bo | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | CHEN Ziqi | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 储榆林 | 血液学研究所血液病医院 | 刘强 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 吴莹 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 赵文正 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 吴美羔 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 王晓光 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 姜丽萍 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China | 赵凤玲 | Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical, Tianjin 300020, China |
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Abstract:: |
Objective To sum up clinical experience in assessment of radiation dose,clinical course,diagnosis,and treatment of three cases of acute radiation sickness (ARS) from a 60 Co radiation source accident on April 26 1999,in Henan Province.Method Diagnosis was carried out based on analysis of irradiation doses,clinical manifestation and laboratory test results.In therapeutic aspect,strict environment protective isolation and GM-CSP administration on the basis of comprehensive treatment were stressed.Results The 3 cases of ARS were meticulously treated for 83 days.Their clinical conditions took a favorable turn,and the therapeutic effects were good.Conclusion The correct diagnosis on severity of ARS and adopting vigorous treatment in early stage could help the patient tide over the critical stage.To avoid major hemorrhage,women patients in critical stage have to change their menstruation cycle by using male hormone.The GM-CSF should be administrated as early as possible with enough dosage for promoting early hematologic reconstruction. |
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