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目的报道一起核事故中5名受大剂量照射人员的应急救治过程,分析事故原因,防止类似事故的发生。方法启动应急预案,估算受照剂量实行紧急救治。结果其中一人被诊断为肠型急性放射病于受照后62d并发病毒感染死亡,一人为中度急性放射病于19个月后并发红皮病等多种病死亡。其余三人分别诊断为中、重度急性放射病。出院后经三年医学随访,除生殖功能有轻度、重度损伤外,病情基本稳定。结论五名受照人员救治及时,救治方案正确。此次事故是一起违章事故,是不该发生的,应引以为戒。
Objective To report the emergency treatment of five people exposed to high doses of radiation in a nuclear accident, analyze the causes of the accident and prevent similar accidents from occurring. Methods to start the emergency plan to estimate the dose of emergency treatment. Results One of them was diagnosed as intestinal acute radiation sickness and died of virus infection after 62 days of exposure. One person was moderately acute radiation sick and died of various diseases such as erythroderma after 19 months. The remaining three were diagnosed as moderate and severe acute radiation sickness. After three years of medical follow-up after discharge, except for mild and severe reproductive dysfunction, the condition was basically stable. Conclusions Five affected persons were promptly treated and the treatment plan was correct. The accident is a violation, it should not happen, should be used as a warning.