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二、医学处理的经验和启示 1.早期分类诊断指标的再认识和评价 (1)呕吐:国内外研究都认为呕吐出现的时间和严重程度与照射剂量有关,苏联学者在总结本次事故中外照射急性放射病诊治经验时,1988年以Guskova为首的专家组给联合国原子辐射生物效应科学委员会(UNSCEAR)的报告中,还把事故后呕吐开始时间作为判定骨髓抑制程度的诊断性记分的重要参数之一,用以估算病情的轻重,预示骨髓抑制是否可逆,是否需做骨髓移植的判断指标之一。但是对其病例的照射剂量和剂量率与呕吐发生的时间作进一步细致分析(图1,2)后,于1990年发
Second, medical treatment experience and enlightenment 1. Re-understanding and evaluation of early classification and diagnosis indicators (1) vomiting: domestic and international studies believe that the time and severity of vomiting is related to radiation dose, Soviet scholars in this incident in the external irradiation During the diagnosis and treatment of acute radiation sickness, the report of the expert group headed by Guskova in 1988 to the UN Scientific Committee on the Effects of Atomic Radiation on Radiation (UNSCEAR) also used the start time of post-accident vomiting as one of the important parameters for the diagnosis of bone marrow suppression. To estimate the severity of illness, predicting whether myelosuppression is reversible, and whether one needs to make bone marrow transplantation. However, after further detailed analysis of the irradiation dose and dose rate of the patient’s case and the timing of vomiting (Fig. 1, 2), it was issued in 1990.