Gale Robert Peter
Haematology Research Centre, Division of Experimental Medicine, Department of Medicine, Imperial College London, London, UK.
Curr Opin Hematol. 2017 Nov;24(6):496-501. doi: 10.1097/MOH.0000000000000380.
The purpose of this review is to address the increasing medical and public concern regarding the health consequences of radiation exposure, a concern shaped not only by fear of another Chernobyl or Fukushima nuclear power facility accident but also by the intentional use of a nuclear weapon, a radiological dispersion device, a radiological exposure device, or an improved nuclear device by rogue states such as North Korea and terrorist organizations such as Al Qaeda and ISIS.
The United States has the medical capacity to respond to a limited nuclear or radiation accident or incident but an effective medical response to a catastrophic nuclear event is impossible. Dealing effectively with nuclear and radiation accidents or incidents requires diverse strategies, including policy decisions, public education, and medical preparedness.
I review medical consequences of exposures to ionizing radiations, likely concomitant injuries and potential medical intervention. These data should help haematologists and other healthcare professionals understand the principles of medical consequences of nuclear terrorism. However, the best strategy is prevention.
本综述旨在回应医学界和公众对辐射暴露健康后果日益增长的关注，这种关注不仅源于对切尔诺贝利或福岛核电站事故再次发生的恐惧，还源于朝鲜等流氓国家以及基地组织和伊斯兰国等恐怖组织故意使用核武器、放射性散布装置、放射性暴露装置或改进型核装置。
美国有应对有限核或辐射事故或事件的医疗能力，但对灾难性核事件做出有效医疗反应是不可能的。有效应对核与辐射事故或事件需要多种策略，包括政策决策、公众教育和医疗准备。
我综述了电离辐射暴露的医学后果、可能伴随的损伤及潜在医疗干预。这些数据应有助于血液学家和其他医疗专业人员理解核恐怖主义医学后果的原则。然而，最佳策略是预防。
