Clinical and hematological aspects of sup 137 Cs: The Goiania radiation accident

Journal Article · Tue Jan 01 04:00:00 EST 1991 · Health Physics; (USA)

DOI:https://doi.org/10.1097/00004032-199101000-00004· OSTI ID:6167730

Brandao-Mello, C E; Oliveira, A R; Valverde, N J; Farina, R; Cordeiro, J M ^[1]

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1. Instituto de Radioprotecao e Dosimetria/CNEN, Rio de Janeiro (Brazil)

Fifty persons involved in the {sup 137}Cs accident in Goiania showed symptoms of whole-body and local acute irradiation and also external or internal contamination mainly due to ingestion or absorption of {sup 137}Cs. Fourteen of the 50 developed severe bone marrow depression characterized by neutropenia and thrombocytopenia. Eight of these 14 received GM-CSF intravenously. None were submitted to bone marrow transplantation. Four of the 14 died due to hemorrhage and infection. For those with significant internal contamination evaluated by in-vitro and in-vivo assays, Prussian Blue was administered with doses ranging from 1.5 to 10 g d-1. Besides Prussian Blue, other measures were taken to increase decorporation of {sup 137}Cs, including administration of diuretics, water overload, and ergometric exercises. From 50 to 100 persons are being followed in a medical protocol.

• OSTI ID: 6167730
• Journal Information: Health Physics; (USA), Journal Name: Health Physics; (USA) Vol. 60:1; ISSN 0017-9078; ISSN HLTPA
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
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63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
ACCIDENTS
ALKALI METAL ISOTOPES
ANIMAL TISSUES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BODY
BONE MARROW
BRAZIL
CESIUM 137
CESIUM ISOTOPES
COMPLEXES
DEVELOPING COUNTRIES
ENVIRONMENTAL EXPOSURE
FERROCYANIDES
HAZARDS
HEALTH HAZARDS
HEMATOPOIETIC SYSTEM
INJURIES
IRON COMPLEXES
ISOTOPES
LATIN AMERICA
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIATION ACCIDENTS
RADIATION EFFECTS
RADIATION HAZARDS
RADIATION INJURIES
RADIOISOTOPES
RADIOSENSITIVITY EFFECTS
SOUTH AMERICA
TISSUES
TRANSITION ELEMENT COMPLEXES
YEARS LIVING RADIOISOTOPES