67

Hematological Effects on Heavily Irradiated Japanese Fishermen

se to each person differed dehis cabin.
‘YT was inferred as about 20 to

HEMATOLOGICAL OBSERVATIONS

ity in the thyroid region during

1.

> found in the urine samples
1. The radioactivity decrease
d

counts at about the 4th to 8th week after the exposure. Five cases revealed a
count of less than 2,000/mm2, 13 less than 3,000, and 5 less than 4,000. In

on the activity in the urine
was

rom the fatal case showed that

‘her, when compared with the
AIMURA et al., 1956).
“r content in the urine of
the
the same time the results cf
erence between fishermen and

Leukocytes

The total number of leukocytes decreased gradually, showing minimum

one case, the leukocyte level was depressed to 800.

Similar relationship was found between minimum counts ef neutrophils and

the dose as shown in Figure 2.

2500

w 2000

z&

lay an impotant role in early

sns in the early stage.

Fig. 2.

Correlation

between

the estimated doses to the whole
body and the minimal number
of neutrophils.

_

1500

oo
;

= 1900

ote

=

- EARLY STAGE

A correlation was found

between these minimum counts and the doses of inclividual external irradiation.

e

*e

500

—

_
yo

.”

.
bd

2
e

dose of lst day

70

dose during 2weeks 160

130

200

190

300

250

400

310

500

.
370

600

430

700

In most cases a shift to the left of the neutrophils was observed.

cells increased in early stage and then gradually decreased.

490

800

R

R

Staff

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. Lymphopenia was noted between the 2nd and 8th week in all
cases. Leukocyte count began to increase after the 8th week. In manycases
eosinophilia was remarkable, especially with the indication cf recovery.
Eosinophilia continued in some cases for several years without proof of parasites,
and one case still 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 atfirst, 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/mm3.
Fig. 1 Symptons and signs
in
the early stage.

The results

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 changes of other irradiated

Select target paragraph3