RESUMO
After the medical handling of a patient exposed to extremely uneven total body irradiation from an 192ir source (the activity was 2.765 TBq) on January 5, 1996 in Jilin City in order to afford new experience and information for similar case in the future. The authors emphasize the early amputation as the key to success, the importance of rhG-CSF effect and the significance of rational nutrition for the support of the patient, who had total body irradiation, massive local radiation injury and extensive surgical intervention to sustain. The document describe the accident, early clinical manifestation and posterior clinical manifestations (peripheral blood changes and bone marrow examination), evolution of local radiation injury; the assay of myocardial and musculature enzymes; assay of hemopoietic activity in the patient's sera and the treatment
