Combined Form of Acute Radiation Syndrome (Case History)
Purpose: To present the information on radiation incident in Georgia when as a result of occasional contact to ionizing radiation source 3 residents of mountain village were exposed, as well as on medical follow-up of one of these patients in Burnazyan FMBC clinic. Material and methods: The data of retrospective dosimetry and materials of treatment of one of patients of clinical department of Burnazyan FMBC are used. Results: The estimation of doses of an external heterogeneous radiation exposure of one of victims was done. The local radiation dose was about 37 Gy, and whole body dose was 2-4 Gy. The applied therapy is described and the reasons of its inefficiency are considered. Conclusions: 1. Increase of amount of occasional contacts of the population to ionizing radiation sources dictates the necessity of acquaintance of medical doctors with clinical features of acute radiation injuries. 2. The development of acute radiation injuries in patients who have serious somatic diseases can demand the change of treatment tactics and seriously aggravates the prognosis. 3. In case of extensive and deep radiation injuries accompanied by a destruction of underlying bone structures and the vital internal organs localized in the anatomic areas which are not subject to amputation and in the presence of a severe concurrent somatic pathology, the surgical grafting with the axial blood supply capable to restore the tissue damage becomes very serious problem.