Tatarskiĭ A R, Maracheva A V
Ter Arkh. 1996;68(3):30-3.
Examination of respiratory system in subjects exposed to long-term inhalation of radioactive dust when engaged in repair works after the Chernobyl accident have revealed specific pathology of the respiratory organs caused by long-term persistence of radioactive dust in the lung tissue. A special regimen of combined treatment has been developed which included: bronchoalveolar lavage, antioxidants, broncholytics, mucolytics, extracorporeal procedures, physical rehabilitation. 1-year monitoring of subjects on this treatment versus untreated controls proved the above regimen beneficial as the patients exhibited less intensive clinical symptoms, less frequent exacerbations of infectious and inflammatory processes, higher quality of life. Some of the patients resumed work. Contrary to controls, the patients had no signs of progression. Therapeutic bronchoalveolar lavage led to elimination of a large percent of the radioactive dust which was present in the alveolar macrophages, thus ruling out the key factor of respiratory affections.
对切尔诺贝利事故后从事修复工作的长期吸入放射性粉尘人员的呼吸系统检查发现,由于放射性粉尘长期滞留在肺组织中,导致了呼吸器官的特定病理变化。已制定了一种联合治疗的特殊方案,包括:支气管肺泡灌洗、抗氧化剂、支气管扩张剂、黏液溶解剂、体外治疗、身体康复。对接受这种治疗的受试者与未治疗的对照组进行的1年监测证明,上述方案是有益的,因为患者的临床症状较轻,感染和炎症过程的加重频率较低,生活质量较高。一些患者恢复了工作。与对照组相反,这些患者没有病情进展的迹象。治疗性支气管肺泡灌洗消除了肺泡巨噬细胞中存在的大部分放射性粉尘,从而排除了呼吸道疾病的关键因素。