Wang Furu,Wang Jin,Yu Ningle,Zhang Yimei,Yang Xiaoyong,Qin Yongchun,Chen Wei.Medical follow-up of exposed victims after the “5.7” accident of radioactive source in Nanjing[J].Chinese Journal of Radiological Medicine and Protection,2019,39(11):859-863
Medical follow-up of exposed victims after the “5.7” accident of radioactive source in Nanjing
Received:March 14, 2019  
DOI:10.3760/cma.j.issn.0254-5098.2019.11.011
KeyWords:Radiation emergency  Acute radiation sickness  Radiation damage  Long-term effect  Medical follow-up
FundProject:江苏省医学创新项目(CXTDA 2017029);江苏省流行病学重点学科项目(ZDXKA 2016008)
Author NameAffiliationE-mail
Wang Furu Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China  
Wang Jin Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China jinwang@jscdc.cn 
Yu Ningle Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China  
Zhang Yimei Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China  
Yang Xiaoyong Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China  
Qin Yongchun Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China  
Chen Wei Department of Radiation Protection, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210029, China  
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Abstract::
      Objective To explore the long-term effects of radiation injury and to provide scientific basis for the evaluation of the effects of ionizing radiation injury by carrying out medical follow-up of patients involved in the "5.7" radiative source accident in Nanjing in 2014. Methods Through interviewing and investigating, we inquired about the new disease history of the exposed patients from rehabilitation treatment to medical follow-up peroid. Physical and laboratory examinations were carried out. According to relevant standards, physiological and biochemical indexes such as hematopoietic system, immune system, endocrine system, ophthalmology, circulatory system, digestive system, urinary system and bone mineral density were systematically evaluated, with the long-term effects being evaluated. Results The patient's vital signs were good without new diseases. The indexes of hematopoietic system, immune system and endocrine system tended to be normal, the circulatory system, digestive system and urinary system showed degenerative changes, the ophthalmic examination showed visual acuity continue to decline, and bone mineral density examination indicated low bone mass. Conclusions Physiological and biochemical indicators of the patients gradually returned to normal without obvious symptoms of radiation damage. Further medical follow-up observation still needs to continue.
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