Adelstein S J
JAMA. 1987 Aug 7;258(5):655-7.
Exposure to ionizing radiation in a nonmilitary emergency is likely to alarm those persons exposed and their families. Not only is the outcome uncertain, but the risks are difficult to convey. This communication discusses uncertainties in short-term outcome and long-term effects, as well as means of conveying the magnitude of risks to patients and their families. It emphasizes that the perception of radiation hazards is contextual. It offers three ways of presenting the prognostic long-term risks of accidental radiation exposure by comparing them with the incidence of cancer and genetic abnormalities in unexposed persons, the hazards of everyday living, and the level of natural and medical exposures to ionizing radiation.
在非军事紧急情况下接触电离辐射可能会使受照射者及其家人感到恐慌。不仅结果不确定,而且风险也难以传达。本文讨论了短期结果和长期影响的不确定性,以及向患者及其家人传达风险程度的方法。它强调对辐射危害的认知是与背景相关的。通过将意外辐射暴露的长期预后风险与未受照射者的癌症和遗传异常发生率、日常生活危害以及天然和医疗电离辐射暴露水平进行比较,本文提供了三种呈现这些风险的方式。