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[结核病与切尔诺贝利悲剧:现状与预后]

[Tuberculosis and the Chernobyl tragedy: status and prognosis].

作者信息

Kalechits O M, Al'khimovich V A

出版信息

Probl Tuberk. 1990(11):14-6.

PMID:2149756
Abstract

The analysis of the epidemiologic situation was made in view of tuberculosis in those areas of the Byelorussian SSR which suffered from radiation as a consequence of the accident at the Chernobyl atomic power plant. A higher level of tuberculosis morbidity among the population (especially among children and adolescents) is recorded in the areas of strict radiation control. The pattern of clinical forms of pulmonary tuberculosis tends to deteriorate in addition to a higher percentage of disseminated smear-positive lung processes. Besides, new difficulties arise due to the organization of an early detection of tuberculosis cases on account of limited X-ray screening of the population to decrease the radiation load on the body. Lower immune status of those subjected to the radiation is demonstrated. The authors predict an unfavorable development of the situation for the nearest future regarding tuberculosis incidence over the radionuclide-polluted territories of the Republic.

摘要

对白俄罗斯苏维埃社会主义共和国因切尔诺贝利核电站事故而遭受辐射地区的结核病疫情进行了分析。在严格辐射控制地区,人群(尤其是儿童和青少年)的结核病发病率较高。除了播散性涂片阳性肺部病变比例较高外,肺结核临床类型的模式也趋于恶化。此外,由于对人群进行有限的X线筛查以减少身体的辐射负荷,组织结核病病例的早期发现出现了新的困难。受辐射者的免疫状态较低。作者预测,在共和国放射性核素污染地区,结核病发病率在不久的将来将呈现不利的发展态势。

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