Petitot F, Moreels A M, Paquet F
Départment de Protection de la santé de l'Homme et de Dosimétrie, Institut de Radioprotection et de Sûreté Nucléaire, B.P. 166, 26707 Pierrelatte CEDEX, France.
Can J Physiol Pharmacol. 2004 Feb;82(2):133-9. doi: 10.1139/y04-004.
At the present time, the International Commission on Radiological Protection (ICRP) has not published any model concerning internal radioactive contamination by uptake from wounds. The aims of our work were to determine the time available to treat contamination of intact or wounded skin before a significant uptake of uranium occurred and to evaluate the consequences of incomplete decontamination on uranium uptake. The kinetics of percutaneous diffusion of uranium through intact or excoriated skin and its distribution in skin layers were evaluated using an in vitro technique. Our data demonstrated a dramatic increase of uranium percutaneous diffusion through excoriated skin compared with intact skin. Significant uptake of uranium through excoriated skin occurred in only 30 min, indicating that there is only a short interval available to treat a contaminated wound effectively. Moreover, in the case of an incompletely decontaminated superficial wound, viable epidermis behaved as a reservoir for uranium that remained bioavailable. At the present time, potential uptake of uranium and perhaps other radionuclides through intact or wounded skin is not adequately taken into account by radiological protection agencies. Our results emphasize the need for further study and modeling of uptake of radionuclides through intact or wounded skin.
目前,国际放射防护委员会(ICRP)尚未发布任何关于伤口摄入导致体内放射性污染的模型。我们工作的目的是确定在铀大量摄入之前,治疗完整皮肤或受伤皮肤污染的可用时间,并评估去污不完全对铀摄入的影响。使用体外技术评估了铀通过完整皮肤或破损皮肤的经皮扩散动力学及其在皮肤各层中的分布。我们的数据表明,与完整皮肤相比,铀通过破损皮肤的经皮扩散显著增加。仅在30分钟内,铀就通过破损皮肤大量摄入,这表明有效治疗受污染伤口的时间间隔很短。此外,在浅表伤口去污不完全的情况下,存活的表皮充当了仍具有生物可利用性的铀的储存库。目前,放射防护机构并未充分考虑铀以及其他可能的放射性核素通过完整皮肤或受伤皮肤的潜在摄入情况。我们的结果强调了进一步研究和建立放射性核素通过完整皮肤或受伤皮肤摄入模型的必要性。