摘要
目的：总结飞行人员晕厥诊治和航空医学鉴定特点，为其诊治及航空医学鉴定提供参考。方法回顾性分析1998年10月—2015年10月入住空军总医院空勤科的36例军事飞行人员晕厥临床资料并复习相关文献。结果30～39岁年龄组的飞行人员发生晕厥较多，共19例，占52.8%；36例中血管迷走性晕厥23例，占63.9%，发生率最高；19例飞行合格，7例暂时飞行不合格，10例飞行不合格；飞行人员晕厥在不同机种间发病率差异无统计学意义。结论飞行人员晕厥包括地面晕厥和空中晕厥，诊治有其特殊性；按照现行飞行人员体格检查标准，借鉴美国相关标准，结合诱因是否明确、飞行机种、飞行经验、职别、个人意向及部队需求予以医学鉴定。
Objective To summarize the features of syncope diagnosis and medical assessment to provide reference for the diagnosis and aviation medical evaluation of syncope in flight personnel. Methods The 36 cases of patients with syncope, who were hospitalized in Air Force General Hospital from October 1998 to October 2015, were retrospectively analyzed and relevant literatures were reviewed. Results The age group from 30 to 39 years old had the higher proportion, a total of 19 cases, which was accounting for 52.8%; in the group of 36 patients, 23 cases of vasovagal syncope which were accounting for 63.9% were the highest incidence of syncope, 19 cases were qualified for flying, 7 cases were disqualified temporarily for flying, 10 cases were disqualified for flying; there was no significant difference for pilot with syncope in different planes. Conclusions Syncope in flight personnel is common, including ground syncope and air syncope. What is more, diagnosis and treatment has its particularity; in accordance with the current standard for physical examination of the flying personnel learning from American flight personnel identification and waiver standards,medical identification depends on the intensive, aircraft, experience, flight capacity, personal intention and the army needs.
出处
《空军医学杂志》
2016年第3期157-160,共4页
Medical Journal of Air Force
关键词
飞行人员
晕厥
诊断
治疗
医学鉴定
Aircrew
Syncope
Diagnosis
Treatment
Medical evaluation
