Protracted overexposure to a 137Cs source:: II.: Clinical sequelae

被引:8
作者
Baranov, AE
Guskova, AK
Davtian, AA
Sevan'kaev, AV
Lloyd, DC
Edwards, AA
Domracheva, EV
Gordeeva, AA
Gusev, IA
Mikhailova, GF
Moiseenko, VV
Nugis, VY
Olshanskaya, YV
机构
[1] State Res Ctr Russia, Inst Biophys, Moscow 123182, Russia
[2] RAMS, Med Radiol Res Ctr, Obninsk 249020, Kaluga Region, Russia
[3] Natl Radiol Protect Board, Didcot OX11 0RQ, Oxon, England
[4] RAMS, Natl Res Ctr Haematol, Moscow 125167, Russia
[5] London Reg Canc Ctr, London, ON N6A 4L6, Canada
关键词
D O I
10.1093/oxfordjournals.rpd.a032581
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The clinical condition and treatment of a driver who was overexposed to an unshielded Cs-137 source that was in his truck for about 5 months is described. Bone marrow and blood changes are presented as he progressed from pancytopaenia to myelodysplasia with features of refractory anaemia and then anaemia with an excess of blasts and transformation to frank myelomonocytic leukemia. He died about 22 months after the discovery of the source from an overwhelming hepatitis B infection concurrent with immunosuppression following cytostatic treatment for the leukaemia.
引用
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页码:91 / 100
页数:10
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