title: [The structure of the causes of death following substantial occupational chronic total-body gamma irradiation].
abstract: The paper is concerned with analysis of all lethal outcomes in a followed-up group of patients with chronic radiation sickness (931 patients) from external occupational gamma irradiation. In a majority of cases over a 2-2.5 year period a mean dose of total irradiation was 3.26 +/- 0.13 Gy. During a follow-up period of 37 years 177 patients died. Only 2 patients (2.2%) died of chronic radiation sickness resulting from anaplastic anemia. In the first decade (1952-1961) malignant neoplasia, including leukemia accounted for 42.2%; in the second decade the rate for leukemia was 26.2 decreasing to 5.2%; the rates for tumors were 18.4, 20.6, 23.5%, those for CHD were 7.7-41.8%. Despite high doses of irradiation the tumor mortality rate was 22.6%, coinciding with that in industrial countries (15-23%).
authors.forename: V N
authors.initials: VN
authors.lastname: Doshchenko
mesh_terms: D000367:Age Factors; D000741:Anemia, Aplastic / Q000209:etiology / Q000401:mortality; D002423:Cause of Death; D002908:Chronic Disease; D003327:Coronary Disease / Q000209:etiology / Q000401:mortality; D003645:Death, Sudden / Q000453:epidemiology; D004307:Dose-Response Relationship, Radiation; D005720:Gamma Rays / Q000009:adverse effects; D006801:Humans; D009381:Neoplasms, Radiation-Induced / Q000209:etiology / Q000401:mortality; D009784:Occupational Diseases / Q000150:complications / Q000401:mortality*; D011832:Radiation Injuries / Q000150:complications / Q000401:mortality*; D014586:USSR; D014916:Whole-Body Irradiation / Q000009:adverse effects*
vernacular_title: Struktura prichin smerti posle znachitel'nogo professional'nogo khronicheskogo obshchego gamma-oblucheniia.