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放射治疗后的慢性损伤:对放射生物学的挑战。

Chronic damage after radiation therapy: challenge to radiation biology.

作者信息

Trott K R

出版信息

Int J Radiat Oncol Biol Phys. 1984 Jun;10(6):907-13. doi: 10.1016/0360-3016(84)90394-8.

DOI:10.1016/0360-3016(84)90394-8
PMID:6735774
Abstract

After local irradiation of the heart or the recto-sigmoid of rats, chronic radiation damage develops after several months, leading to well-defined clinical syndromes of fatal pericarditis and myocardial necrosis or fatal ileus. In both organs, the LD-50 is below 20 Gy, and a pronounced split dose recovery has been measured with fractionated irradiation. In both organs, the primary radiation damage appears to be to the capillaries, which then leads to secondary parenchymal atrophy. Damage to structured vessels and fibrosis was only seen in areas of necrosis, which in the gut might be precipitated by secondary trauma to the atrophic mucosa.

摘要

对大鼠心脏或直肠乙状结肠进行局部照射后,数月后会出现慢性辐射损伤,导致明确的致命性心包炎和心肌坏死或致命性肠梗阻临床综合征。在这两个器官中,半数致死剂量(LD-50)低于20 Gy,并且已通过分次照射测量到明显的分次剂量恢复。在这两个器官中,原发性辐射损伤似乎主要发生在毛细血管,进而导致继发性实质萎缩。仅在坏死区域观察到结构性血管损伤和纤维化,在肠道中,萎缩黏膜的继发性创伤可能会促使这种情况发生。

相似文献

1
Chronic damage after radiation therapy: challenge to radiation biology.放射治疗后的慢性损伤:对放射生物学的挑战。
Int J Radiat Oncol Biol Phys. 1984 Jun;10(6):907-13. doi: 10.1016/0360-3016(84)90394-8.
2
Chronic radiation damage in the rectum of the rat after protracted fractionated irradiation.大鼠长时间分次照射后直肠的慢性辐射损伤
Radiother Oncol. 1986 Oct;7(2):155-63. doi: 10.1016/s0167-8140(86)80095-0.
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Chronic radiation damage in the rat rectum: an analysis of the influences of fractionation, time and volume.大鼠直肠的慢性辐射损伤:分次照射、时间和体积影响的分析
Radiother Oncol. 1994 Oct;33(1):91-2. doi: 10.1016/0167-8140(94)90093-0.
4
Proctitis cystica profunda and radiation fibrosis in the rectum of the female Wistar rat after X irradiation: a histopathological study.雌性Wistar大鼠直肠深度囊性直肠炎及X线照射后的放射性纤维化:一项组织病理学研究
J Pathol. 1982 Nov;138(3):193-204. doi: 10.1002/path.1711380302.
5
[Radiation-induced ileus].
Wien Z Inn Med. 1972;53(4):221-6.
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Rectum obstruction in rats after local irradiation.大鼠局部照射后直肠梗阻
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The effects of local X-irradiation on the distensibility of the rectum in rats.局部X射线照射对大鼠直肠扩张性的影响。
Br J Radiol. 1995 Jan;68(805):64-9. doi: 10.1259/0007-1285-68-805-64.
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Intestinal injuries incidental to irradiation of carcinoma of the cervix of the uterus.子宫颈癌放射治疗时伴发的肠道损伤
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Predictive role of TDF values in late rectal recto-sigmoid complications in irradiation treatment of cervix cancer.
Int J Radiat Oncol Biol Phys. 1992;24(2):217-21. doi: 10.1016/0360-3016(92)90674-7.

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Radiation-induced proctitis cystica profunda in the rat.大鼠放射性直肠深部囊肿性直肠炎
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