CAJ | 학술논문

目的：总结飞行员颅内蛛网膜囊肿的临床特点及航空医学鉴定原则。方法对2008年1月-2012年12月我院确诊颅内蛛网膜囊肿的11例飞行员资料进行总结分析。结果11例中，5例以头晕发病，2例以晕厥、意识丧失发病，1例以四肢无力发病，1例以失眠、性格改变发病，其余2例无症状体检时发现。辅助检查9例脑电图检查正常，2例为边缘状态脑电图。4例进行了低压舱试验，其中1例出现异常。2例心理测评无异常。1例观察期超龄停飞，1例首次入院后即予飞行合格结论，4例分别观察随访1～2年后，给予飞行合格结论，限双座飞行；另5例因存在不同程度的临床症状，给予暂时飞行不合格结论，继续观察随访。结论飞行员患颅内蛛网膜囊肿存在飞行中丧失行为能力的风险，一旦发现应立即暂停飞行，并系统检查神经精神状况，根据结果作出相应飞行结论。
목적：총결비행원로내주망막낭종적림상특점급항공의학감정원칙。방법대2008년1월-2012년12월아원학진로내주망막낭종적11례비행원자료진행총결분석。결과11례중，5례이두훈발병，2례이훈궐、의식상실발병，1례이사지무력발병，1례이실면、성격개변발병，기여2례무증상체검시발현。보조검사9례뇌전도검사정상，2례위변연상태뇌전도。4례진행료저압창시험，기중1례출현이상。2례심리측평무이상。1례관찰기초령정비，1례수차입원후즉여비행합격결론，4례분별관찰수방1～2년후，급여비행합격결론，한쌍좌비행；령5례인존재불동정도적림상증상，급여잠시비행불합격결론，계속관찰수방。결론비행원환로내주망막낭종존재비행중상실행위능력적풍험，일단발현응립즉잠정비행，병계통검사신경정신상황，근거결과작출상응비행결론。
Objective To summarize the clinical features and the aeromedical evaluation of intracranial arachnoid cysts in pilots. Methods A retrospective analysis of the clinical data of 11 pilots with intracranial arachnoid cysts was carried out from 2008 to 2012. Results Eleven patients were all male pilots, including 5 cases with onset of dizziness, two cases with syncope and loss of consciousness disease,one case with weakness, one case with insomnia and personality changes, and the remaining two cases with asymptomatic. There were normal EEG in 9 patients and EEG pattern of edge condition in 2. Four patients had low pressure chamber tests, including one was abnormal. One case was admitted to fly for the fist time in hospital, 4 cases were admitted to fly restricted to two-seater flight after 1~2 years of follow-up and 5 cases with clinical symptoms in observations continuously. Conclusion Intracranial arachnoid cysts can bring flight risk, so pliots with incranial arachnoid cysts should be stopped flying immediately and evaluated in systematic neuropsychiatric examination.