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| The diagnosis and treatment of acute, subacute and chronic radiation syndrome from external exposure |
| WANG Youyou, BIAN Huahui, CHEN Weibo, HOU Yuhan, FENG Junchao, DAI Hong, LIU Yulong |
| The Second Affiliated Hospital of Suzhou University, Suzhou 215004 China |
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Abstract The paper elaborates clinical characteristics,clinical manifestations, diagnostic criteria and treatment principles of acute, subacute, and chronic radiation syndrome caused by external exposure, so as to provide the basis for early and timely treatment and standardized diagnosis, which can provide guarantee for the nuclear safety application.According to the size of irradiated dose, acute radiation sickness from external exposure can be divided into bone marrow type, intestinal type and brain type. The clinical stage of bone marrow of acute radiation sickness (ARS) is obvious. Early dose estimation will contribute to early diagnosis,predict disease severity and determine treatment strategies. Subacute radiation syndrome from external exposure is hematopoietic tissue damage primarily, which has no obvious clinical stage.The main clinical manifestation of chronic radiation sickness is asthenic neurasthenia syndrome, which is mostly occupational. The dose threshold is an important reference factor for diagnosis of chronic radiation sickness (CRS). Medical management of radiation sickness from external exposure should take comprehensive measures and pay attention to psychotherapy as well as organic treatment.And long-term systematic medical follow-up of the patients should be taken in the later period to ensure the physical and mental health of patients.
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Received: 21 May 2019
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