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].Chinese Journal of Radiological Medicine and Protection,2003,23(4):284-285
Clinical observation of a case with multi-part radiation injury caused by nonuniform 192Ir external irradiation
Received:August 22, 2002  
DOI:
KeyWords:External irradiation  192Ir  Case report  Diagnosis and treatment  Functional recovery
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Author NameAffiliation
YANG Wenfeng North Taiping Rood Hospital, Beijing 100039, China 
YANG Zhixiang North Taiping Rood Hospital, Beijing 100039, China 
AI Huisheng North Taiping Rood Hospital, Beijing 100039, China 
孙向黎 North Taiping Rood Hospital, Beijing 100039, China 
余长林 North Taiping Rood Hospital, Beijing 100039, China 
王桂林 North Taiping Rood Hospital, Beijing 100039, China 
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Abstract::
      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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