Al Aladashvili University Clinic of Tbilisi State Medical University, 103 Uznadze str, 0102 Tbilisi, Georgia.
Health Phys. 2010 Jun;98(6):872-5. doi: 10.1097/HP.0b013e3181c8f949.
This paper presents follow-up of the patients injured in the Lilo Radiological Accident in 1996-1997, Georgia, and discusses initial and intermediate medical accident management. There is also given estimation of the patients' medical status after 11 years since Lilo Radiological Accident. Consequently, the main lessons to be drawn from this accident are (1) Satisfactory initial surgery did not prevent in all cases the occurrence of some secondary (often localized) radionecrotic ulcerations several months, or even years, later; and (2) Skin lesions which spontaneously healed and appeared stable at the initial examination could deteriorate, with secondary reopening, a long time (months to years) thereafter. Moreover, a number of sequelae were responsible for severe impairment of these patients' life quality; functional sequelae (finger amputations, etc.) for some of them, cosmetic ones for almost all patients, oligo or azoospermia in all cases, and various understandable psychomatic symptoms and nervous breakdowns.
本文介绍了 1996-1997 年格鲁吉亚利洛放射事故中受伤患者的随访情况，并讨论了初始和中期医疗事故管理。还对利洛放射事故发生 11 年后患者的医疗状况进行了评估。因此，从这次事故中吸取的主要教训是：(1) 尽管初始手术令人满意，但仍未能防止所有情况下数月甚至数年后出现一些继发性（通常为局部）放射性坏死溃疡；(2) 在初始检查时自行愈合且看起来稳定的皮肤损伤可能会恶化，在数年后出现继发性再开口。此外，许多后遗症导致这些患者的生活质量严重受损；一些患者出现功能后遗症（手指截肢等），几乎所有患者都出现美容后遗症，所有患者均出现少精症或无精症，以及各种可理解的精神症状和精神崩溃。
