民航飞行学员扩张型心肌病一例

中华航空航天医学杂志 Pub Date : 2014-06-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2014.02.005

李娇, 易华, 包芳, 李伟

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引用次数: 0

Abstract

一、临床资料患者,男性,25岁,民航飞行学员.2012年8月,航校毕业入职体检时心脏超声示:左室扩大,左室室壁运动异常,左室射血分数51％.后在北京军区总医院行心脏形态MR检查示:左室心腔扩大,心肌变薄且不均匀,室壁运动减弱,考虑扩张型心肌病.经心内科会诊后,诊断为扩张型心肌病.追溯6年前招飞体检,未查心动超声,心电图示:大致正常.2007-2011年大学年度体检时,心电图均示:左室高电压.大学4年间未做心动超声检查.2012年8-9月,分别在多家医院就诊,心动超声示:左心室扩大,前室间隔心肌变薄,射血分数32％～51％;查体:心尖部可闻及Ⅱ级收缩期杂音.确诊为:扩张型心肌病.2012年12月14日,查心脏超声示:左心增大,心肌受累疾患,左室射血分数35％.给予比索洛尔、螺内酯、培哚普利等药物治疗,并建议2个月复查1次心动超声.2013年4月中国民用航空总局空勤人员体检鉴定中心鉴定,结论:飞行不合格. 关键词：心肌病,扩张型(Cardiomyopathy,dilated);合格鉴定(Eligibility determination);病例报告(Case report) 分类号：R856.5;R542.2

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民航飞行学员扩张型心肌病一例

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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.