本文分析了23例铀作业人员误诊为“慢性放射病”的资料,误诊的主要原因是:缺乏诊断经验,不了解个人、环境的剂量资料和剂量—效应关系;缺乏对铀的理化性质和毒理学认识;不了解现场情况与工艺过程;血象观察不充分,对某些临床表现误认为是辐射效应所致。本文还提出了一些对诊断慢性放射病的看法和建议。 This paper analyzes the data of 23 cases of uranium workers misdiagnosed as chronic radiation sickness, the main reasons for misdiagnosis are: lack of diagnostic experience, personal and environmental dose information and dose-response relationship; the lack of physical and chemical properties of uranium and toxicology Understanding; do not understand the scene conditions and process; inadequate observation of blood, for some clinical manifestations mistaken for the radiation effect. This article also put forward some ideas and suggestions for the diagnosis of chronic radiation sickness.