Watanabe Naoyuki, Sasaki Yasuhito
Gunma Prefectural College of Health Sciences.
Kaku Igaku. 2011 Nov;48(4):393-418.
The utilization of radionuclide therapy facility and temporary therapeutic facility has been proposed for securing the effectiveness of the higher medical management of patients internally contaminated in nuclear emergency. However it is not then practical to conduct all of the medical management. The purpose of the medical management of contaminated patients in the facilities is to continue the medical treatment of the patients who already undergo medication in order to decrease the amount of radionuclides inside of the bodies and reduce possible cancer risks and, from the view point of radiation protection, to prevent the proliferation of radionuclides from the patients and the expansion of secondary radiation exposure from them to the general public. It is here described a basic idea for medical management for contaminated patients in the radionuclide therapy facility and temporary therapeutic facility to complement the current medical management scheme in nuclear emergency.
为确保核应急情况下体内受污染患者的高级医疗管理的有效性，已提议利用放射性核素治疗设施和临时治疗设施。然而，进行所有的医疗管理在当时并不实际。在这些设施中对受污染患者进行医疗管理的目的是，继续对已经在接受药物治疗的患者进行治疗，以减少体内放射性核素的量，降低可能的癌症风险，并且从辐射防护的角度来看，防止放射性核素从患者体内扩散以及防止其对公众造成的二次辐射暴露范围扩大。本文阐述了放射性核素治疗设施和临时治疗设施中受污染患者医疗管理的基本理念，以补充当前核应急情况下的医疗管理方案。
