飞行人员支气管哮喘的诊治及航空医学鉴定

Diagnosis, treatment and medical evaluation of bronchial asthma in fight aircrew

  • 摘要: 目的 总结飞行人员支气管哮喘的临床特点及航空医学鉴定原则。 方法 收集我院2001 - 2013年因支气管哮喘住院的9例飞行人员临床资料,分析其临床特点、诊疗经过及航空医学鉴定。 结果 患者病史1个月~ 6年,2例有支气管哮喘家族史,4例合并过敏性鼻炎,1例合并过敏性皮炎。8例有在飞行中发作史。入院时9例均为慢性持续期;病情严重程度1级2人,2级5人,3级2人。7例诊断为支气管哮喘,2例诊断为咳嗽变异型哮喘。治疗后疾病控制水平分级:5例完全控制,4例部分控制。5例飞行合格,4例飞行不合格。 结论 患支气管哮喘飞行人员的航空医学鉴定需要根据疾病严重程度、治疗效果并结合飞行机种、飞行职务进行评价。获得特许资格的飞行人员,允许使用经过批准的药物。特许飞行后要进行密切随访。

     

    Abstract: Objective To summarize the clinical characteristics of bronchial asthma in fight aircrew and discuss relevant principles of clinical aviation medicine. Methods Clinical data about 9 cases who were diagnosed with bronchial asthma admitted to our hospital from 2001 to 2013 were collected, and their clinical characteristics, diagnosis and fight conclusion were analyzed. Results Of the 9 patients, the history of disease ranged from 1 month to 6 years, 2 had a fam ily history of bronchial asthma, 4 suffered from allergic rhinitis, and 1 suffered from sensitization dermatitis. During the fight duties, 8 patients had experienced attacks of asthma. A ll the 9 patients were chronic cases when adm itted into hospital. The severity of the disease was: 2 patients in level 1, 5 patients in level 2, 2 patients in level 3. Of the 9 patients, 7 were diagnosed with bronchial asthma and 2 were diagnosed with cough variant asthma. The disease control level after treatment was: 5 cases were in complete control and qualifed to fy, whereas 4 cases were in part control and temporary grounding. Conclusion The aviation medical evaluation should be decided according to the clinical characteristics of the disease and the recovery condition after proper treatment, the plane species and the fight duty of the aviator should also be taken into account. Waiverd fighters are allowed to use the approved drugs and needed to be followed up.

     

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