中华航空航天医学杂志
中華航空航天醫學雜誌
중화항공항천의학잡지
CHINESE JOURNAL OF AEROSPACE MEDICINE
2011年
1期
10-13
,共4页
吕天翔%曹善云%范玉坤%张弓
呂天翔%曹善雲%範玉坤%張弓
려천상%조선운%범옥곤%장궁
主动脉瓣%畸形%主动脉瓣狭窄%主动脉瓣关闭不全%合格鉴定
主動脈瓣%畸形%主動脈瓣狹窄%主動脈瓣關閉不全%閤格鑒定
주동맥판%기형%주동맥판협착%주동맥판관폐불전%합격감정
Aortio valve%Abnormalities%Aortic valve stenosis%Aortic volve insufficiency%Eligibility determination
目的 分析民航飞行员先天性二叶式主动脉瓣畸形的航空医学意义,探讨民用航空医学体检鉴定的政策、标准、方法和措施,提高体检鉴定水平.方法 报告2例民航飞行员先天性二叶式主动脉瓣畸形的临床资料,分析其发病特点;检索并借鉴国外航空医学的处置政策及具体方法,对我国民用航空医学的体检鉴定提出意见和建议.结果 确诊2例飞行员先天性二叶式主动脉瓣畸形,无任何临床症状,无明显血流动力学改变的临床证据,亦不具备介入和(或)手术治疗的临床指征.根据我国现行民航飞行人员体检鉴定标准,仅可按特许鉴定方案进行体检鉴定;两例飞行员特许鉴定合格后,分别恢复飞行3个月和13个月,飞行耐力良好,未见因医学原因出现的飞行事故或飞行事故征候.结论 民航飞行员先天性主动脉瓣畸形的航空医学评定应遵循个别评定、风险评估和谨慎的原则,若无症状、无血流动力学改变的临床证据、不具备介入治疗或手术治疗的指征等,总体风险水平在可接受范围内.在飞行员自我认识、密切航医监控、定期专科会诊的前提条件下可给予特许合格,或考虑授权航空体检医生进行协助特许体检鉴定.
目的 分析民航飛行員先天性二葉式主動脈瓣畸形的航空醫學意義,探討民用航空醫學體檢鑒定的政策、標準、方法和措施,提高體檢鑒定水平.方法 報告2例民航飛行員先天性二葉式主動脈瓣畸形的臨床資料,分析其髮病特點;檢索併藉鑒國外航空醫學的處置政策及具體方法,對我國民用航空醫學的體檢鑒定提齣意見和建議.結果 確診2例飛行員先天性二葉式主動脈瓣畸形,無任何臨床癥狀,無明顯血流動力學改變的臨床證據,亦不具備介入和(或)手術治療的臨床指徵.根據我國現行民航飛行人員體檢鑒定標準,僅可按特許鑒定方案進行體檢鑒定;兩例飛行員特許鑒定閤格後,分彆恢複飛行3箇月和13箇月,飛行耐力良好,未見因醫學原因齣現的飛行事故或飛行事故徵候.結論 民航飛行員先天性主動脈瓣畸形的航空醫學評定應遵循箇彆評定、風險評估和謹慎的原則,若無癥狀、無血流動力學改變的臨床證據、不具備介入治療或手術治療的指徵等,總體風險水平在可接受範圍內.在飛行員自我認識、密切航醫鑑控、定期專科會診的前提條件下可給予特許閤格,或攷慮授權航空體檢醫生進行協助特許體檢鑒定.
목적 분석민항비행원선천성이협식주동맥판기형적항공의학의의,탐토민용항공의학체검감정적정책、표준、방법화조시,제고체검감정수평.방법 보고2례민항비행원선천성이협식주동맥판기형적림상자료,분석기발병특점;검색병차감국외항공의학적처치정책급구체방법,대아국민용항공의학적체검감정제출의견화건의.결과 학진2례비행원선천성이협식주동맥판기형,무임하림상증상,무명현혈류동역학개변적림상증거,역불구비개입화(혹)수술치료적림상지정.근거아국현행민항비행인원체검감정표준,부가안특허감정방안진행체검감정;량례비행원특허감정합격후,분별회복비행3개월화13개월,비행내력량호,미견인의학원인출현적비행사고혹비행사고정후.결론 민항비행원선천성주동맥판기형적항공의학평정응준순개별평정、풍험평고화근신적원칙,약무증상、무혈류동역학개변적림상증거、불구비개입치료혹수술치료적지정등,총체풍험수평재가접수범위내.재비행원자아인식、밀절항의감공、정기전과회진적전제조건하가급여특허합격,혹고필수권항공체검의생진행협조특허체검감정.
Objective To analyze aviation medicine significance for the civil pilot with congenital bicuspid aortic valve malformations (BAVM) and discuss the assessment policies, standards, methods and measures of medical examination for promoting the level of medical identification. Methods Two cases of civil pilot with BAVM were reviewed and their invasive characteristics were analyzed. By taking the foreign policies and specified methods as reference, suggestions were raised for Chinese civil aviation medical assessment. Results These 2 final diagnosed BAVM cases didn't have any clinical symptoms, homodynamic changes and clinical indications that the medical intervention or operation was necessary. The 2 pilots would only apply for special permitted medical assessment, according to current physical examination standard for Chinese civil flying personnel, and were qualified for flying.They showed good endurance when they had recovered flying for 13 and 3 months respectively and no any medical causal flying accident or accident proneness occurred. Conclusions Medical assessment for the civil pilot with BAVM should follow the principles of individual evaluation, risk assessment and caution care. The overall risk will be in acceptable range if there are no clinical symptoms, no homodynamic changes and no indications that lead to medical intervention or operation. Special qualification would be issued on the base of pilot's self-awareness, flight surgeon's closed supervision and regular consultation. Physical examination doctor is suggested to be authorized for assisting the special permitted medical assessment.
