辐射防护通讯 ›› 2014, Vol. 34 ›› Issue (1): 20-24.

• 研究通报 • 上一篇    下一篇

三起事故中11例过量受照人员的医学处理及心理测评

杨小强1, 汪丽2, 卞华慧3, 陈炜博3, 王优优3, 刘玉龙3   

  1. 1.福建宁德核电有限公司, 福建 福鼎, 355200;
    2.南京军区福州总医院第二附属医院, 福建 宁德, 352000;
    3.苏州大学附属第二医院, 苏州, 215004
  • 收稿日期:2014-01-17 出版日期:2014-02-20 发布日期:2025-02-25
  • 通讯作者: 刘玉龙,Email:yulongliu2002@126.com
  • 作者简介:杨小强(1982- ),男,2006年毕业于兰州大学公共卫生学院预防医学专业,学士; 辐射防护工程师。

Medical Treatment and Psychological Assessment of 11 Cases with Overdose Exposure in Three Radiation Accidents

Yang Xiaoqiang1, Wang Li2, Bian Huanhui3, Cen Weibo3, Wang Youyou3, Liu Yulong3   

  1. 1. Fujian Ningde Nuclear Power Co. Ltd, Fuding, 355200;
    2. The Second Affiliated Hospital of General Hospital of Fuzhou, Ningde,352000;
    3. The Second Affiliated Hospital of Soochow University, Suzhou, 215004
  • Received:2014-01-17 Online:2014-02-20 Published:2025-02-25

摘要: 介绍了三起放射事故的梗概,以及事故中11例过量受照人员的病史采集、实验室检查、生物剂量估算、医学处理及心理测评,探讨了急、慢性过量受照人员的生物和心理学效应。结果表明,192Ir急性外照射者A诊断为急性放射性皮肤损伤Ⅱ度,经局部保守治疗后好转;4例X线慢性外照射受照者诊断为观察对象;生物剂量未估出;过量受照及医学处理经过对受照人员心理状况有较大影响。结果提示,受照者大多会出现一系列的心理变化,通过进行科学的心理测评和指导,有利于受照者的心理康复。

关键词: 放射事故, 过量照射, 医学处理, 心理测评

Abstract: The medical history was collected from11 cases in 3 accidents using "face to face" mode. These cases were examined using blood cell analysis, liver and renal function, immune function, endocrine function et al. The biological dose was estimated using the analysis of peripheralblood lymphocyte chromosome aberration, Gbanding and the micronucleus (CB). Thepsychological status of cases, before and after the treatment of radiation workers, was evaluated by application of Cattell sixteen personality factor Test (16PF), self rating depression scale (SDS) and self rating anxiety scale (SAS). Theresults showed that the worker exposed to 192Ir was diagnosed with acute radiological skin injury degree II by GSH and has been largely improving after the local conservative treatment. The 4 cases of chronic radiation injuries were diagnosed as the object of observation, without biological dose estimated. There was a big psychological influence over the overexposed. The research also indicated that most of the accidents were caused by human error and the victims will represent appear aseries of psychological changes after the accident.

Key words: Radiation accident, Excess Exposure, Medical treatment, Mental health

中图分类号: 

  • R818.71, X9