Differentsialno-diagnostic signs of an acute radial illness of various severity level (table 5-8)
Table 5 — Differentsialno-diagnostic signs OLB razlichyonoj severity levels
Indicator | Severity level OLB | |||
I | II | III | IV | |
Exposure dose | 1,0-2,0 Gr | 2,0-4,0 Gr | 4,0-6,0 Gr | More than 6,0 Gr |
Vomiting: the beginning and intensity | In 2 hours and more, odnoyo The multiple | In 1-2 hours, repeated | In 0,5-1 hours, mnogoyokratnaja | In 5-20 minutes, unrestrained |
Diarrhoeia | As p | ravilo is absent | Can be | |
G olovnaja a pain and a condition Consciousnesses | Short-term headache, consciousness clear | Headache, consciousness clear | Strong golovyonaja the pain, sozyonanie can To be broken | |
Motor performance | The normal | Natural changes it does not become perceptible | Adynamia | |
Condition of a skin and visible sliyozistyh | The normal | Weak prehoyodjashchaja a hyperemia | At measured a transient hyperemia | The expressed hyperemia |
Temperature Bodies | The normal | The subfebrile | 38,0-39,0 °s | |
prodolzhitelyonost pervichyonoj reactions | Is not present or neyoskolko hours | Till 1 days | Till 2 days | More than 2-3 days |
Table 6 — Diagnostics of severity level of an acute radial illness in the latent period
Indicator | Severity level at OLB | |||
I | II | III | IV | |
Number of lymphocytes in 1 l of blood on 3-6 days (? 109) | 1,0-0,6 | 0,5-0,3 | 0,2-0,1 | Less than 0,1 |
Number of leucocytes in 1 l of blood on 8-9 days (? 109) | 4,0-3,0 | 2,9-2,0 | 1,9-0,5 | Less than 0,5 |
Diarrhoeia, since 7-9 days | No | It is expressed | ||
Epilation | As a rule, it is not expressed | Can be on 12-20 days | At the majority on 10-20 days | At the majority on 7-10 days |
Duration latentnoyogo the period | 30 days | 15-25 days | 8-17 days | No |
Table 7 — Diagnostics of severity level of an acute radial illness in peyoriod height
Indicator | Severity level OLB | |||
I | II | III | IV | |
Clinical implications | The asthenic phenomena | Infectious complications, staxis, epilation | The general intoxication, fever, intestinal syndrome, hypotension | |
Changes of peripheric blood | ||||
Number of leucocytes in 1 l of blood (? 109) | 3,0-1,5 | 1,5-0,5 | 0,5-0,1 | More low 0,5 or not usyopevaet to develop |
Number of thrombocytes in 1 l of blood (? 109) | 100-60 | 50-30 | Less than 30 | More low 20 or not uspeyovaet to develop |
Terms of the beginning of an agranulocytosis (leucocytes less than 1,0? 10¼) | No | 20-30 Days | 8-20 days | 6-8 days |
Terms of the beginning of a thrombocytopenia (thrombocytes less than 40? 10¼) | Is not present or 25-28 days | 17-28 Days | 10-16 Days | Till 10 days |
ESR, mm/ch | 10-25 | 25-40 | 40-80 | 60-80 |
Table 8 — Diagnostics of an acute radial illness at stages of medical evacuation
Stages | Clinic | Dosimetry | Datas of laboratory |
The first medical assistance | Symptom-complex of primary radial reaction | Data of group and individual dosimetry | — |
KvalifitsiroYOvannaja medical aid | Clinic of primary radial reaction and the subsequent projavyoleny acute lucheyovoj illnesses | Data of group and individual dosimetry | Research periyofericheskoj bloods for 2-3 days after an irradiation |
Table 8 termination
Stages | Clinic | Dosimetry | Laboratory danyo nye |
Specialised medical poyo Power | Clinic OLB during the different periods | Data of group and individual dosimetry | Research periyofericheskoj blood and an osteal brain in a log volume, vozmozhyono carrying out otyodelnyh biohimicheyoskih and immunologiyocheskih researches |
1.1.
Other medical related information Differentsialno-diagnostic signs of an acute radial illness of various severity level (table 5-8):
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