Dobyns B M, Hyrmer B A
Department of Surgery, Case Western Reserve University at Cleveland Metropolitan General Hospital, Ohio 44109.
World J Surg. 1992 Jan-Feb;16(1):126-39; discussion 139-40. doi: 10.1007/BF02067128.
On March 1, 1954, a serious fallout accident occurred during the United States atomic testing program at Bikini in the Trust Territory of the Pacific Islands. Following the detonation of a large thermonuclear device (known as Bravo) an unexpected shift in winds resulted in deposition of radioactive debris on several inhabited atolls in the Marshall Islands. During the early post-detonation period military, sea, and air surveys traced the hottest portion of the parabolic cloud as it drifted in an ever widening pattern of diminishing concentration eastward and southeast of Bikini. The center of the cloud passed North of the Rongelap Atoll, which was the nearest inhabited atoll. This report concerns the development of thyroid lesions, the special circumstances encountered during thyroid surgery, and the results of the surgical management of benign and malignant lesions that were subsequently encountered in this population.
1954年3月1日，在美国太平洋岛屿托管地比基尼岛进行的原子试验项目期间，发生了一起严重的放射性沉降事故。在一枚大型热核装置（代号为“布拉沃”）引爆后，风向意外改变，导致放射性碎片沉降在马绍尔群岛的几个有人居住的环礁上。在爆炸后的初期，军方、海上和空中调查追踪了抛物线形云团中最热的部分，它以不断扩大且浓度逐渐降低的模式向东和比基尼岛东南部漂移。云团中心经过了最近的有人居住的环礁朗格拉普环礁的北部。本报告涉及甲状腺病变的发展情况、甲状腺手术中遇到的特殊情况，以及该人群随后遇到的良性和恶性病变的手术治疗结果。
