| Liu Songtao,Liu Yulong,Wang Youyou,Bian Huahui,Chen Weibo,Liu Huajiang,Hou Yuhan,Cui Ran,Wang Ruihao.Medical follow-up of the exposed victim two years after “5.7” radiation accident in Nanjing[J].Chinese Journal of Radiological Medicine and Protection,2017,37(6):420-425 |
| Medical follow-up of the exposed victim two years after “5.7” radiation accident in Nanjing |
| Received:January 22, 2017 |
| DOI：10.3760/cma.j.issn.0254-5098.2017.06.004 |
| KeyWords:Radiation accident Bone marrow form of acute radiation sickness 192Ir Late effects Medical follow-up |
| FundProject:江苏省临床医学科技专项（BL2014040）；江苏省卫生计生委2014-2015年度预防医学科研项目（Y2015024） |
| Author Name | Affiliation | E-mail | | Liu Songtao | Department of Ultrasonic Imaging Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Liu Yulong | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | yulongliu2002@126.com | | Wang Youyou | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Bian Huahui | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Chen Weibo | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Liu Huajiang | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Hou Yuhan | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Cui Ran | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Wang Ruihao | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | |
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| Abstract:: |
| Objective To investigate the late effects induced by ionizing radiation and the rehabilitation treatment of local radiation injury by medical follow-up of the patient exposed to 192Ir at "5.7" accident in Nanjing,and to provide more experience for the treatments in the medical emergency of nuclear or radiological accident. Methods According to the history inquiry and physical examination of the patient in detail and the record of clinical symptoms and signs,the changes of the blood system,immune system,reproductive system,eyes,nervous system were systematically evaluated.The effects of rehabilitation treatment for the patient with lower limb dysfunction were also assessed. Results After the medical treatments of the patient,the hematopoietic immune system was restored,but the bone marrow aspiration still showed low bone marrow hyperplasia in right ilium.Meanwhile,the level of sex hormones was within the normal range,but semen examination showed sperm motility was 0.The radiation damage also occurred in the eye lens,retina and fundus.However,the psychological evaluation showed that the patient was stable and the right lower limb skin wound healing was well except for dysfunction and pain in some extent,which was relieved after the rehabilitation treatment. Conclusions The physiological function of the exposed victim with mild bone marrow type acute radiation sickness could be completely or partially restored after the clinical treatment in the early stage. |
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