乌克兰居民在切尔诺贝利核电站事故后的健康状况

本文报告了切尔诺贝利事故后受到影响的乌克兰三个人群(救援人员、30km区域内撤离人员、儿童和少年)在1990～2004年间健康状况的观察结果.受害者的总人数有22.5万人.受照剂量在0.25～0.70Gy的救援人员有7 400人.观察的指标有随机性效应(甲状腺癌、白血病、妇女乳腺癌和其他恶性肿瘤的发病率)和确定性效应(急性放射病、白内障、非肿瘤性疾病,以及儿童和少年的健康状况),证明上述人群中这些效应的危险性有所增加.报告还分析了非照射因素在这些效应发生中所起的作用,说明这些疾病在发病原因上的多样性.     

The effect of single and repeated UVB radiation on rabbit cornea

Background Cumulative effect of ultraviolet radiation (UVR) is an important aspect of UV corneal damage. The purpose of this study was to apply high resolution magic angle spinning proton nuclear magnetic resonance (HR-MAS ¹H NMR) spectroscopy to evaluate the effect of single and repeated UV radiation exposure of the same overall dose on the rabbit cornea.Methods Corneal surfaces of 24 normal rabbit eyes were examined for the effects of UVB exposure (312 nm). In the first group (UVB1), animals were irradiated with a single dose (3.12 J/cm²; 21 min) of UVB radiation. The animals in the second group (UVB2) were irradiated three times for 7 min every other day (dose of 1.04 J/cm²; days 1, 3, 5) to give the same overall dose (3.12 J/cm²). The third group served as an untreated control group. One day after the last irradiation, the animals were sacrificed, and the corneas were removed and frozen. HR-MAS ¹H NMR spectra from intact corneas were obtained. Special grouping patterns among the tissue samples and the relative percentage changes in particular metabolite concentrations were evaluated using modern statistical methods (multivariate analysis, one-way ANOVA).Results The metabolic profile of both groups of UVB-irradiated samples was significantly different from the control corneas. Substantial decreases in taurine, hypo-taurine and choline-derivatives concentrations and substantial elevation in glucose and betaine levels were observed following the UVR exposure. There was no significant difference between the effect of a single and repeated UVB irradiation of the same overall dose.Conclusions For the first time, the effects of single and repeated UVR doses on the metabolic profile of the rabbit cornea were analysed and compared. The combination of HR-MAS ¹H NMR spectroscopy and modern statistical methods (multivariate analysis, one-way ANOVA) proved suitable to assess the overall view of the metabolic alterations in the rabbit corneal tissue following UVB radiation exposure.     

Fas、Bcl-2在γ射线体外诱发的白血病小鼠骨髓细胞中的表达

目的 :观察 Fas、Bcl- 2在 γ射线体外诱发的急性淋巴细胞白血病小鼠骨髓细胞中表达情况 ,以探讨辐射致癌的机制。方法 :采用 4次 1.75 Gyγ射线全身照射 BAL B/ c小鼠诱发白血病模型 ,通过流式细胞仪对照射后白血病组、未癌变组及对照组小鼠骨髓细胞中 Fas、Bcl- 2的表达进行检测 ;应用抗 Fas抗体诱导细胞凋亡 ,进一步观察 Fas、Bcl- 2的表达对骨髓细胞凋亡的影响。 结果 :白血病小鼠骨髓细胞 Fas表达较未癌变组及对照组明显下降 (P<0 .0 1) ,而 Bcl- 2的表达明显增强 (P<0 .0 1) ;白血病小鼠骨髓细胞明显耐受抗 Fas抗体诱导的细胞凋亡。 结论 :Fas低表达、Bcl- 2高表达导致了细胞凋亡受到抑制 ,这可能是辐射引起小鼠急性淋巴细胞白血病的机制之一。     

~(60)Coγ射线照射诱发小鼠恶性肿瘤

目的：建立γ射线诱发小鼠恶性肿瘤动物模型。方法：BALB／c小鼠经^60Coγ射线全身照射，每次吸收剂量1．75Gy，吸收剂量率0．88Gy／min，每周1次，共4次。照后每隔1～2个月处死一批小鼠，分别取胸腺、肺脏、肝脏、脾脏、肾脏、胃、生殖腺、肠系膜、盲肠、大脑等组织器官，甲醛溶液固定后进行病理学检查及裸鼠致瘤实验。结果：照后15个月BALB／c小鼠出现的肿瘤类型以白血病为主，并发现汗腺瘤及恶性卵黄囊瘤；白血病经病理学证实为淋巴细胞型白血病；白血病及汗腺瘤的裸鼠致瘤实验已稳定连续传至第12代。结论：成功建立^60Coγ射线体外诱发的小鼠恶性肿瘤动物模型。     

放射性~(125)I粒子组织间植入对家兔尿道损伤的实验研究

目的:研究不同剂量的放射性125I粒子对家兔尿道的放射性损伤。方法:麻醉下将放射性125I粒子植入雄性家兔尿道旁1.0cm处。125I粒子的放射性粒子活度分别为14.8MBq(A组)、29.6MBq(B组)和44.4MBq(C组),对照组(D组)仅尿道旁种植相当于粒子大小无放射性的无菌铅管1粒。植入后4周,摄尿道片,观察粒子位置等情况;原手术切口切开,取放射粒子周围2.0cm范围内的家兔尿道组织作肉眼、光学显微镜和电子显微镜观察,进行放射性损伤的评价。结果:术后4周,肉眼及光学显微镜观察,实验组与对照组粒子周围的尿道粘膜、粘膜下及肌层所见基本一致;C组少部分电镜视野中观察到尿道上皮胞质出现较多空泡变性、空化、嵴稀疏等超微结构的损伤。光镜下尿道入射性损伤评分,A、B、C、D组分别为(2.20±0.18)、(2.23±0.15)、(2.27±0.10)、(2.10±0.17)分,A、B、C组与D组相比,差异无显著性(P>0.05)。对线粒体作FlaMeng半定量分析,A、B、C、D各组评分分别为(1.23±0.13)、(1.34±0.25)、(1.41±0.30)、(1.12±0.13)分,A、B、C各组与D组(对照组)相比,差异无显著性(P>0.05)。结论:放射性125I粒子对尿道放射性损伤随粒子的放射性活度的增加而逐渐加重,呈明显的放射性活度效应关系;正常剂量的放射性粒子对尿道的损伤是很轻微的,是安全可行的。     

^125I放射微粒微创植入治疗前列腺癌

目的观察^125I放射微粒植入对前列腺癌的治疗效果。方法对26例临床确诊为前列腺癌患者经皮穿刺在癌组织植入^125I放射微粒，每例平均36粒，术后复查肛诊、B超、影像学及血生化指标。结果患者植入治疗经过顺利，2例少量出血，留置导尿后愈合，3个月后经肛诊、直肠B超示结节缩小，前列腺特异性抗原（PSA）降低，多普勒超声显示结节内动脉收缩期最大血流速度（VS）、阻力指数（RI）及动脉搏动指数（PI）均明显下降。结论^125I放射微粒植入对前列腺癌的治疗安全性好、效果可靠。     

肿瘤物理治疗技术及设备

简要介绍了肿瘤的放射治疗和热治疗的技术及设备，介绍了各种技术及设备的特点。     

Data Bank and Consulting System for Medical Management of Patiens with Acute Radiation Sickness

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Surface coat of sheep pulmonary intravascular macrophages: Reconstitution,and implication of a glycosyl-phosphatidylinositol anchor

Background: Pulmonary intravascular macrophages (PIMs) of sheep have a globular surface coat that facilitates endocytosis of tracer particles and Escherichia coli lipopolysaccharide, and is disrupted by the heparin and Brefeldin A treatments. The present study investigated the in vivo dynamics of the coat globules following heparin-mediated removal, and the mechanism of globule organization on the plasma membrane of PIMs in vitro. Methods: Sheep were administered heparin at a dose of 50 IU/kg body weight IV, and euthanised at 30 min, 3, 6, 12, 48, and 120 hr (n = 2 for each treatment) after the treatment. Control sheep (n = 2) were injected with normal saline solution. The tissues were processed for an ultrastructural examination and acid phosphatase (ACPase) cytochemistry. Heparintreated lungs were subjected to morphometric analysis of the coat globules. Lung tissues from normal sheep (n = 2) were incubated with phosphatidylinositol-specific-phospholipase C (PIPLC; 2 IU/ml PBS) in vitro for 30 and 75 min. Results: Heparin study: The ultrastructural and morphometric data showed that the coat globules were removed at 30 min and reconstituted within 48 hr of the treatment. The PIMs showed priminent Golgi complexes associated with secretory vesicles, microtubules, and centriole between 3–12 hr of heparin treatment. Acid phosphatase cytochemistry also demonstrated secretory activity in the Golgi complexes of PIMs during the coat reconstitution. PIPLC study: The coat globules of PIMs were removed in a time-dependent mode by the PIPLC treatment without damage to other cell organelles. Conclusions: This study demonstrates a time-dependent reconstitution of the coat of PIMs in conjunction with secretory activity following heparinmediated removal, probably through sequenstration of the globules from blood. This ability is of functional significance as the coat mediates particle endocytosis by the PIMs. The results also suggest the presence of a glycosyl-phosphatidylinositol (GPI) anchor in tethering of globules on the plasma membrane of PIMs to offer a structural basis for their integrity in pulmonary vascular flow. © 1995 Wiley-Liss, Inc.     

壳聚糖辐射效应的研究（Ⅰ）──辐照剂量与分子量的关系及辐射裂解的G（S）值

通过粘度的测量，考察了壳聚糖在不同条件下经不同剂量γ射线辐照所引起的分子量的变化，并分别计算了真空和空气中壳聚糖辐射裂解的Ｇ（Ｓ）值。