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
2015年
2期
119-123
,共5页
宋玫侠%王丽%王颖%廉武星%李上
宋玫俠%王麗%王穎%廉武星%李上
송매협%왕려%왕영%렴무성%리상
眼底%视网膜静脉阻塞%糖尿病视网膜病变%合格鉴定%中心性浆液性脉络膜视网膜病变
眼底%視網膜靜脈阻塞%糖尿病視網膜病變%閤格鑒定%中心性漿液性脈絡膜視網膜病變
안저%시망막정맥조새%당뇨병시망막병변%합격감정%중심성장액성맥락막시망막병변
Fundus oculi%Retinal vein occlusion%Diabetic retinopathy%Eligibility determination%Central serous chorioretinopathy
目的 探讨飞行员眼底病变的发病特点、临床诊治以及医学鉴定原则,提出应对措施.方法 回顾性分析2009年6月至2014年7月解放军第一五三医院空勤科收治的4例(5眼)飞行员眼底疾病患者的资料. 结果 ①4例(5眼)飞行员眼底疾病主要包括3类:中心性浆液性脉络膜视网膜病变2例、视网膜分支静脉阻塞1例、糖尿病视网膜病变1例(2眼).②除糖尿病性视网膜病变患者1例(2眼)外,其余患者均有眼部不适,如视力下降、视物变形及视物模糊等.通过眼底检查、视野、相干光断层扫描和眼底血管造影等结果确诊后,住院给予药物治疗.③4例(5眼)飞行员眼底疾病患者中,2例中心性浆液性脉络膜视网膜病变飞行员经治疗、地面观察3个月后飞行合格;其余2例(3眼)视网膜分支静脉阻塞及糖尿病视网膜病变治愈后飞行合格. 结论 飞行人员眼底疾病应根据治疗效果、视功能检查结果进行医学鉴定.中心性浆液性脉络膜视网膜病变治愈后需经地面观察1～3月,无复发且不影响视功能者为飞行合格;视网膜分支静脉阻塞及糖尿病视网膜病变治愈后,不遗留视功能障碍者为飞行合格.
目的 探討飛行員眼底病變的髮病特點、臨床診治以及醫學鑒定原則,提齣應對措施.方法 迴顧性分析2009年6月至2014年7月解放軍第一五三醫院空勤科收治的4例(5眼)飛行員眼底疾病患者的資料. 結果 ①4例(5眼)飛行員眼底疾病主要包括3類:中心性漿液性脈絡膜視網膜病變2例、視網膜分支靜脈阻塞1例、糖尿病視網膜病變1例(2眼).②除糖尿病性視網膜病變患者1例(2眼)外,其餘患者均有眼部不適,如視力下降、視物變形及視物模糊等.通過眼底檢查、視野、相榦光斷層掃描和眼底血管造影等結果確診後,住院給予藥物治療.③4例(5眼)飛行員眼底疾病患者中,2例中心性漿液性脈絡膜視網膜病變飛行員經治療、地麵觀察3箇月後飛行閤格;其餘2例(3眼)視網膜分支靜脈阻塞及糖尿病視網膜病變治愈後飛行閤格. 結論 飛行人員眼底疾病應根據治療效果、視功能檢查結果進行醫學鑒定.中心性漿液性脈絡膜視網膜病變治愈後需經地麵觀察1～3月,無複髮且不影響視功能者為飛行閤格;視網膜分支靜脈阻塞及糖尿病視網膜病變治愈後,不遺留視功能障礙者為飛行閤格.
목적 탐토비행원안저병변적발병특점、림상진치이급의학감정원칙,제출응대조시.방법 회고성분석2009년6월지2014년7월해방군제일오삼의원공근과수치적4례(5안)비행원안저질병환자적자료. 결과 ①4례(5안)비행원안저질병주요포괄3류:중심성장액성맥락막시망막병변2례、시망막분지정맥조새1례、당뇨병시망막병변1례(2안).②제당뇨병성시망막병변환자1례(2안)외,기여환자균유안부불괄,여시력하강、시물변형급시물모호등.통과안저검사、시야、상간광단층소묘화안저혈관조영등결과학진후,주원급여약물치료.③4례(5안)비행원안저질병환자중,2례중심성장액성맥락막시망막병변비행원경치료、지면관찰3개월후비행합격;기여2례(3안)시망막분지정맥조새급당뇨병시망막병변치유후비행합격. 결론 비행인원안저질병응근거치료효과、시공능검사결과진행의학감정.중심성장액성맥락막시망막병변치유후수경지면관찰1～3월,무복발차불영향시공능자위비행합격;시망막분지정맥조새급당뇨병시망막병변치유후,불유류시공능장애자위비행합격.
Objective To investigate the invasion characteristics of retinal diseases,consultation experiences as well as medical assessment for pilots,and put forward the corresponding countermeasures.Methods Medical records of 4 retinal disease cases,which were diagnosed by Department of Aviation in the 153th Hospital of PLA from June 2009 to July 2014.Results ①Four male pilots (5 eyes) were diagnosed as three sorts of retinal diseases:2 cases of central serous chorioretinopathy,1 case of branch retinal vein occlusion,1 case (2 eyes) of diabetic retinopathy.② Except 1 pilot (2 eyes) with diabetic retinopathy,the rest pilots complained discomfort of eyes,such as decreased vision,blurred vision and visual distortion.They were hospitalized and drug treated as the retinal diseases were diagnosed by the examinations of fundus,visual field and optical coherence tomography and fundus fluorescein angiography.③In above 4 cases (5 eyes),2 were central serous chorioretinopathy and pilots were qualified after the treatment and 3 months medical observation.The other 2 cases (3 eyes) were branch retinal vein occlusion and diabetic retinopathy.They were qualified as they recovered.Conclusions The medical assessment of retinal disease should be done in accordance with the results of treatment and visual function test.After the cure of central serous chorioretinopathy,1-3 months medical observation is suggested and the qualification would be issued if no recurrence and disturbed visual function were observed.The cured pilot who is free from branch retinal vein occlusion and diabetic retinopathy and with normal visual function would be qualified for flying.
