Hoffman Azik, Eisenkraft Arik, Finkelstein Arseny, Schein Ophir, Rotman Eran, Dushnitsky Tsvika
Chemical, Biological, Radiological and Nuclear Medicine Branch, Medical Corps, Israel Defense Forces, Tel Hashomer Military Base, Ramat Gan, Israel 02149.
Mil Med. 2007 Jun;172(6):607-10. doi: 10.7205/milmed.172.6.607.
On March 20, 1995, sarin gas was used in Tokyo by members of the Japanese "Uhm-Shinrikiu" cult, killing 12 and injuring >5,500 innocent people. Most of the casualties were mildly injured. This article reviews the neurological follow-up data for some of the victims over the past decade.
We reviewed the published literature regarding neurological follow-up of the victims, dividing the data according to the time elapsed after the attack.
The digit span test, finger-tapping test, and computerized posturography were the only performance tests that showed statistically significant differences between the victims and the control groups in some of the surveys. The main sequela 7 years after the attack was post-traumatic stress disorder.
The results emphasize the need for a national preparedness program for such mass casualty events, led by national health systems. This should include long-term, neurological, follow-up monitoring with performance tests and a post-traumatic stress disorder screening test.
1995年3月20日，日本“奥姆真理教”成员在东京使用沙林毒气，造成12人死亡，5500多名无辜民众受伤。大多数伤亡人员为轻伤。本文回顾了部分受害者在过去十年中的神经学随访数据。
我们查阅了已发表的关于受害者神经学随访的文献，并根据袭击发生后的时间对数据进行了分类。
在一些调查中，数字广度测试、手指敲击测试和计算机化姿势描记法是仅有的在受害者和对照组之间显示出统计学显著差异的性能测试。袭击7年后的主要后遗症是创伤后应激障碍。
结果强调了由国家卫生系统牵头制定针对此类大规模伤亡事件的国家防备计划的必要性。这应包括通过性能测试和创伤后应激障碍筛查测试进行长期的神经学随访监测。
