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[来自弗罗茨瓦夫地区关于切尔诺贝利反应堆事故后甲状腺疾病及预防性碘使用的数据]

[Data from the Wrocław region about thyroid diseases and use of prophylactic iodine after the reactor accident in Czernobyl].

作者信息

Czapski I, Gizler M, Jankowski J, Kuszyk M, Ruta R, Rynowiecka M, Serafin B, Karbowska-Turska G, Wasikowa R, Zukowska-Kowalska K

机构信息

Akademia Medyczna, DCDM DOLMED, Państwowy Szpital Kliniczny Nr 3, Poradnia Endokrynologiczna, Wojewódzka Stacja Sanitarno-Epidemiologiczna we Wrocławiu.

出版信息

Endokrynol Pol. 1991;42(2):311-20.

PMID:1364481
Abstract

The radiological contamination of Wrocław Region after Czernobyl accident was evaluated as moderate. In the frame of Research Programme MZ-XVII 4310 persons (2012 men and 2298 women) were randomly selected and investigated. Among them were 1525 children up to 16 years old. 925 children and 854 adults took potassium iodide; only minority in April but majority between May 1st and May 5th. Side effects was rare phenomenon seen in about 5% of those who ingested potassium iodide and in majority of cases was very mild (with rash and vomiting as most common clinical symptoms). Only 13 persons with side effects have visited physicians. Among 955 women aged 19-40 years 71 were pregnant in May 1986. 55 of them delivered on time, 3 before time. Average health state of newborns was 9.1 according to Apgar scale. 10 women have had spontaneous abortion and 3 decided to terminate pregnancy in first 6 weeks. The physical examination revealed the presence of diffuse goiter in 384 persons and of nodular goiter in 23 persons. In majority of cases the goiter was small, OB or I. according to WHO classification.

摘要

切尔诺贝利事故后,弗罗茨瓦夫地区的放射性污染被评估为中度。在研究项目MZ-XVII的框架下,随机挑选了4310人(2012名男性和2298名女性)进行调查。其中有1525名16岁以下的儿童。925名儿童和854名成年人服用了碘化钾;4月服用的人数较少,但5月1日至5月5日期间服用的人数居多。副作用是一种罕见现象,约5%摄入碘化钾的人出现了副作用,大多数情况下症状非常轻微(最常见的临床症状是皮疹和呕吐)。只有13名有副作用的人去看了医生。在1986年5月,955名19至40岁的女性中有71人怀孕。其中55人按时分娩,3人早产。根据阿普加评分,新生儿的平均健康状况为9.1。10名女性自然流产,3人在怀孕的前6周决定终止妊娠。体格检查发现384人有弥漫性甲状腺肿,23人有结节性甲状腺肿。根据世界卫生组织的分类,大多数情况下甲状腺肿较小,为OB级或I级。

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