飞行人员B型超声检查新发现疾病调查

Investigation of new finding diseases in pilots by B-mode ultrasonography

目的调查分析年度疗养飞行人员B超检查新发现疾病特点,为尽早预防、治疗疾病提供依据。方法分析2981例男性飞行人员B超检查及临床体检资料。结果新发现B超异常病例136例,共有17个病种,以肝、胆、肾系统结石最为常见(占37.5%),其次是脂肪肝(占26.5%),肝、肾囊肿(占15.4%)及胆囊息肉(占8.8%)等。新发现病例健康鉴定结论合格131例(占96.3%),5例(占3.7%)病情较重定为飞行暂不合格(其中2例结石发生急性绞痛、1例输尿管结石并重度积水、1例肾脏透明细胞癌、1例早期肝硬化)。结论飞行人员超声检查新发病例多见,个别疾病受检者虽无自觉症状,但病变明显需及时治疗,应引起航卫工作者的高度重视。

Objective To investigate new finding diseases in pilots by annual B-mode ultrasonography and provide a basis for prevention and treatment as early as possible .Methods 2 981 male pilots were detected by B-mode ultrasonography and thedata on clinical medical examination were analysed.Results 136 cases with 17 diseases were found abnormal by B-mode ultrasonography. The liver, gall bladder and kidney system stone were most common （account for37.5%）, fatty liver（account for 26.5%） next,then cysts of liver, kidney （account for15.4%）and gallbladder polyps（account for 8.8%）,etc.. 131 cases of new finding diseases were determined qualified by health evaluation（account for96.3%）.5 cases with severe illness were determined as flight suspension（including 2 cases stone diseases occuring acute angina, lcase ureteral stones combining severe dropsy, 1 case kidney clear cell carcinoma and 1 case early-phase hepatocirrhosis）l. Conclusion New finding diseases are common in pilots by B-mode ultrasonography.A few subjects with severe diseases need for treatment in spite of no subjective symptoms. It is should be paid close attention by pilots.