67

licmatological Effects on Heavily Irradiated Japanese Fishermen

se to each person differed dehis cabin.

HEMATOLOGICAL OBSERVATIONS

“I was inferred as about 20 to
ity in the thyroid region during

1.

‘ found in the urine samples

counts at about the 4th to 8th week after the exposure.

1 =6The radioactivity decrease
d
on the activity in the urine was

rom the fatal case showed that

-her, when compared with the
AIMURA et al., 1956).

Leukocytes

The total number of leukocytes decreased gradually, showing minimum

Five cases revealed a

count of less than 2,000/mm?, 13 less than 3,000, and 5 less than 4,000.

In

one case, the leukocyte level was depressed to 800. A correlation was found
between these minimum counts and the doses of individual external irradiation.
Similar reiationship was found between minimum counts of neutrophils and
the dose as shown in Figure 2.

Sr content in the urine of the

the same time the results cf
“tence between fishermen and

2500

lay an impotant role in early
' EARLY STAGE

ins in the early stage.

2000

=

€

wr

S 1500

3
Fig. 2.
Correlation between
the estimated doses to the whole

body and the minimal number
of neutrophils.

*e

= 1000

>>

sts

*e

500

°

ry

"

dose of 1st day

:

°

.

°

70

130

190

250

310

370

430

490

R

dose during 2weeks 160

200

300

400

500

600

700

800

R

In most cases a shift to the left of the neutrophils was observed. Staff
cells increased in early stage and then gradually decreased. However, in
some cases, metamyelocytes and myelocytes appeared in peripheral blood
especially with the begin of recovery. In a fatal case who died of liver
damage, a considerable number of juvenile neutrophils were observed at the

end stage.

cases.

Lymphopenia was noted between the 2nd and 8th week in all

Leukocyte count began to increase after the 8th week.

eosinophilia was remarkable, especially

with

the indication

In manycases
cf recovery.

Eosinophilia continued in somecases for several years without proof of parasites,
and onecasestill revealed slight eosinophilia in the 1968 survey.

2.

Erythrocytes

At the time of hospitalization a few patients were anemic. Noreticulocyte
was observed in them at the critical stage. Color index was higher than1.0.
The Price-Jones curves of erythrocyte diameter were displaced to the right
of normal at first, and returned to almost normalafter one year. These changes
corrseponded to changes of erythroblast diameters in bone marrow.
3.

Platelets, ete.
Platelet counts decreased, reaching a minimum in the 4th to 7th week.
Most of the fishermen revealed the values below 100,000/mm?, The results

Fig. 1 Symptons and signs in
the early stage.

of other tests related to hemorrhage showed depression at the critical stage
in general and recovered by the 10th week.
4.

Comparison with Other Irradiated Cases

When these blood changes are compared with the changesof other irradiated

Select target paragraph3