Experience in treatment of the radiation syndrome in accident victims exposed with non-uniform distribution of the dose within a body

Experience in diagnosis and treatment of radiation accident victims undergone to radiation expose with non-uniform distribution of the dose within a body is presented and the most significant features of medical management of such patients are discussed. The term 'compound radiation injure' is proposed to use for this form of radiation disease. Treatment of compound radiation injure demands a participation of very qualified specialists. The first medical aid and management should include careful body surface monitoring. Beside daily haematological observation and cytogenetic study with corresponding treatment, careful observation and registration of skin reaction are necessary. Some features of treatment are the following: more early administration of anti infection means, including isolation in sterile room, timely surgical intervention, prophylacsis and treatment of endorganic intoxication improving of microcirculation, long time follow up study with pathogenic therapy. (author)