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摘要: 冠状动脉疾病(coronary artery disease，CAD)的发病率呈上升趋势，且发病年龄逐渐提前。我军现行飞行人员体格检查标准中规定CAD为飞行不合格。随着现代介入诊疗新技术的发展，国内外均有CAD飞行人员特许放飞的案例。为此，全军航空航天医学专业委员会根据“十二五”“十三五”期间空军特色医学中心全军重大课题等研究成果，组织相关专家借鉴外军做法和我军实际情况制定“军事飞行人员冠状动脉疾病特许飞行指南”，内容包括CAD的诊断、治疗、航空医学关注点、特许医学鉴定要求、特许飞行合格后的随访原则等。旨在规范军事飞行人员冠状动脉疾病的诊治，重点是为航空医学鉴定提供参考依据。
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[1] Mozaffarian D,Benjamin EJ,Go AS,et al. Heart disease and stroke statistics--2015 update:a report from the American Heart Association[J]. Circulation,2015,131(4): e29-e322. [2] 张作明. 航空航天临床医学［M］. 西安: 第四军医大学出版社, 2005. [3] 张凌,王广云,邹志康,等. 美国空军飞行人员主要疾病特许飞行统计分析[J]. 空军医学杂志,2016,32(1): 41-47. [4] Scanlon PJ,Faxon DP,Audet AM,et al. Acc/aha guidelines for coronary angiography. A report of the American college of Cardiology/American heart association task force on practice guidelines (committee on coronary angiography). developed in collaboration with the society for cardiac angiography and interventions[J]. J Am Coll Cardiol,1999,33(6): 1756-1824. doi: 10.1016/S0735-1097(99)00126-6 [5] Gray G,Bron D,Davenport ED,et al. Assessing aeromedical risk:a three-dimensional risk matrix approach[J]. Heart,2019,105(Suppl 1): s9-s16. doi: 10.1136/heartjnl-2018-313052 [6] Davenport ED,Gray G,Rienks R,et al. Management of established coronary artery disease in aircrew without myocardial infarction or revascularisation[J]. Heart,2019,105(Suppl 1): s25-s30. doi: 10.1136/heartjnl-2018-313054 [7] Nicol ED,Rienks R,Gray G,et al. An introduction to aviation cardiology[J]. Heart,2019,105(Suppl 1): s3-s8. doi: 10.1136/heartjnl-2018-313019 [8] USAF School of Aerospace Medicine. USAF Waiver Guide［S］. San Antonio, TX: U.S. Air Force School of Aerospace Medicine, Brooks Air Force Base, 2020. [9] 郑军,肖晓光,张恒,等. 飞行人员冠心病的鉴别诊断和医学鉴定[J]. 中华航空航天医学杂志,2015,26(2): 85-90. doi: 10.3760/cma.j.issn.1007-6239.2015.02.002 [10] 陈诗婷,孙津津,牟宗阳,等. 心脏多层螺旋CT对飞行人员冠心病的诊断价值[J]. 解放军医学院学报,2017,38(7): 611-614. doi: 10.3969/j.issn.2095-5227.2017.07.005 [11] 张海涛,黄丛春,孙津津,等. 基于人工智能技术获得的无创血流储备分数诊断心肌缺血的初步探索[J]. 中国介入心脏病学杂志,2019,27(7): 361-367. doi: 10.3969/j.issn.1004-8812.2019.07.001 [12] 张海涛,孙津津,黄丛春,等. 血管内超声及血流储备分数检测对军事飞行人员冠心病的应用价值及意义[J]. 空军医学杂志,2015,31(3): 132-136. [13] White CW,Wright CB,Doty DB,et al. Does visual interpretation of the coronary arteriogram predict the physiologic importance of a coronary stenosis?[J]. N Engl J Med,1984,310(13): 819-824. doi: 10.1056/NEJM198403293101304 [14] 张海涛,孙津津,黄丛春,等. 无创检测技术在军事飞行人员疑似冠心病综合评价中的应用价值[J]. 军事医学,2020,44(9): 671-675. [15] Mark DB,Shaw L,Harrell FE Jr,et al. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease[J]. N Engl J Med,1991,325(12): 849-853. doi: 10.1056/NEJM199109193251204 [16] Mushtaq S,De Araujo Gonçalves P,Garcia-Garcia HM,et al. Long-term prognostic effect of coronary atherosclerotic burden:validation of the computed tomography-Leaman score[J]. Circ Cardiovasc Imaging,2015,8(2): e002332. [17] Maddox TM,Stanislawski MA,Grunwald GK,et al. Nonobstructive coronary artery disease and risk of myocardial infarction[J]. JAMA,2014,312(17): 1754-1763. doi: 10.1001/jama.2014.14681 [18] Gada H,Kirtane AJ,Kereiakes DJ,et al. Meta-analysis of trials on mortality after percutaneous coronary intervention compared with medical therapy in patients with stable coronary heart disease and objective evidence of myocardial ischemia[J]. Am J Cardiol,2015,115(9): 1194-1199. doi: 10.1016/j.amjcard.2015.01.556 [19] Farb A,Burke AP,Tang AL,et al. Coronary plaque erosion without rupture into a lipid core[J]. Circulation,1996,93(7): 1354-1363. doi: 10.1161/01.CIR.93.7.1354 [20] Min JK,Dunning A,Lin FY,et al. Age- and sex-related differences in all-cause mortality risk based on coronary computed tomography angiography findings results from the International Multicenter CONFIRM (Coronary CT Angiography Evaluation for Clinical Outcomes:an International Multicenter Registry) of 23,854 patients without known coronary artery disease[J]. J Am Coll Cardiol,2011,58(8): 849-860. doi: 10.1016/j.jacc.2011.02.074 [21] 徐先荣. 重视航空医学特殊病例和特许飞行医学鉴定[J]. 中华航空航天医学杂志,2015,26(2): 81-84. doi: 10.3760/cma.j.issn.1007-6239.2015.02.001 -
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