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辐射伤亡人员的临床分诊——联邦国防军放射生物学研究所的血液学模块

CLINICAL TRIAGE OF RADIATION CASUALTIES-THE HEMATOLOGICAL MODULE OF THE BUNDESWEHR INSTITUTE OF RADIOBIOLOGY.

作者信息

Port Matthias, Abend Michael

机构信息

Bundeswehr Institute of Radiobiology Affiliated to the University Ulm, Munich, Germany.

出版信息

Radiat Prot Dosimetry. 2018 Dec 1;182(1):90-92. doi: 10.1093/rpd/ncy141.

DOI:10.1093/rpd/ncy141
PMID:30165461
Abstract

Novel treatment regimens for therapy of the acute radiation syndrome (ARS) were developed over the last years. Their application relies on an early and high-throughput diagnosis. Based on the database SEARCH a new scientific triage tool (called H-module) was developed for early prediction of the later developing ARS. Based on peripheral blood cell counts measured within the first three days after a radiation exposure a prediction of the H-ARS severity (as well as therapeutic recommendations) can be performed with this tool. The H-module was tested within two table top exercises. Contributors were either radiation experts or radiobiology students and the required patient data were generated from real case histories. The H-module proved to be an easy to train and easy to use precise and promising new tool to assist and guide the treating physician in a large-scale radiation scenario. An introduction into this new tool and other diagnostic tools will be provided in the context of a NATO-teaching class in October/November 2019 in Paris.

摘要

在过去几年中,针对急性放射综合征(ARS)开发了新的治疗方案。这些方案的应用依赖于早期和高通量诊断。基于数据库SEARCH,开发了一种新的科学分诊工具(称为H模块),用于早期预测后期发生的ARS。根据辐射暴露后前三天内测量的外周血细胞计数,使用该工具可以预测H-ARS的严重程度(以及治疗建议)。H模块在两次桌面演练中进行了测试。参与者要么是放射专家,要么是放射生物学学生,所需的患者数据来自真实病例记录。H模块被证明是一种易于培训、易于使用、精确且有前景的新工具,可在大规模辐射场景中协助和指导治疗医生。2019年10月/11月在巴黎举行的北约教学课程将介绍这种新工具和其他诊断工具。

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