飞行员肾结石50例随访及放飞医学标准的探讨

杨崇格, 陈明, 李萌, 吴玮
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Abstract

自2002年腹部B超作为飞行人员疗养期间年度大体检常规必查项目之后,诊断为肾结石的飞行员越来越多,但这种结石基本是静息性结石,既无临床症状,也无临床体征.肾结石数量、大小、位置不尽相同,自然造成的危害也不一样,但现行鉴定标准没有区别对待,尤其是单座机飞行员是不允许带石飞行的.肾结石对飞行的潜在影响及威胁是否过度解读,现行《中国人民解放军空军飞行人员体格检查标准》中有关肾结石条款是否过于严厉,值得广大航卫工作者关注和探讨.笔者通过对50例肾结石飞行员5年或5年以上临床医学资料及飞行追踪随访观察,旨在探讨肾结石与飞行之间的相互影响,以便更科学地对患有肾结石的飞行员进行医学鉴定,并为修订体格检查标准提供科学依据. 关键词:肾结石(Kidney calculi);合格鉴定(Eligibility determination);参考标准(Reference standards);随访研究(Follow-up studies) 分类号:R856.6
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飞行员肾结石50例随访及放飞医学标准的探讨
自2002年腹部B超作为飞行人员疗养期间年度大体检常规必查项目之后,诊断为肾结石的飞行员越来越多,但这种结石基本是静息性结石,既无临床症状,也无临床体征.肾结石数量、大小、位置不尽相同,自然造成的危害也不一样,但现行鉴定标准没有区别对待,尤其是单座机飞行员是不允许带石飞行的.肾结石对飞行的潜在影响及威胁是否过度解读,现行《中国人民解放军空军飞行人员体格检查标准》中有关肾结石条款是否过于严厉,值得广大航卫工作者关注和探讨.笔者通过对50例肾结石飞行员5年或5年以上临床医学资料及飞行追踪随访观察,旨在探讨肾结石与飞行之间的相互影响,以便更科学地对患有肾结石的飞行员进行医学鉴定,并为修订体格检查标准提供科学依据. 关键词:肾结石(Kidney calculi);合格鉴定(Eligibility determination);参考标准(Reference standards);随访研究(Follow-up studies) 分类号:R856.6
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中华航空航天医学杂志
中华航空航天医学杂志 航空航天医学
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2962
期刊介绍: The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.
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