The three principal pathways for intakes of plutonium are ingestion, inhalation, and contaminated wounds. In August 2018, a glovebox worker at Los Alamos National Laboratory (LANL) sustained a puncture from a thread of a braided steel cable contaminated with Pu. The puncture produced no pain, no blood, and little or no visible mark. As a result, the potential for a contaminated wound was not immediately recognized, and a wound count was not conducted until elevated urine bioassay results were received 12 d after the incident. This paper discusses the circumstances of the incident, along with the medical response and dose assessment, and a discussion of the risks and benefits of the medical interventions.

中文翻译：

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在洛斯阿拉莫斯国家实验室，对被238Pu污染的皮肤穿刺的反应。

摄入intake的三个主要途径是食入，吸入和污染的伤口。2018年8月，洛斯阿拉莫斯国家实验室（LANL）的一名杂物箱工人从被Pu污染的编织钢丝的线中刺破。穿刺不会产生疼痛，没有血液，几乎没有可见的痕迹。结果，没有立即识别出伤口被污染的可能性，并且直到事件发生12天后尿液生物测定结果升高，才进行伤口计数。本文讨论了事件的情况，以及医疗响应和剂量评估，并讨论了医疗干预措施的风险和收益。