飞行人员气胸临床特点及航空医学鉴定

The medical evaluation of spontaneous pneumothorax of aircrew

目的总结4例飞行人员自发性气胸的诊治及鉴定过程,提出飞行人员自发性气胸的鉴定建议。方法回顾我中心收治的4例自发性气胸飞行人员的诊治、鉴定过程,提出自发性气胸飞行人员的航空医学鉴定建议。结果例1,手术去除肺大疱后给予飞行合格结论。例2,给予暂时飞行不合格结论,主要因为其发病后观察时间尚不够长,将来有望恢复飞行。例3,空中战勤人员,经过复查,肺功能良好,考虑其为空中战勤人员,给予双座飞行合格出院。例4,陆航直升机飞行员,双上肺肺大疱暂不需处理,结论飞行合格。结论自发性气胸在飞行结论鉴定时应综合发作次数、肺大疱位置、飞行机种及飞行人员个人意愿等情况而定。

Objective To summarize the diagnosis, treatment and process of aviation medical evaluation of four cases of spontaneous pneumothorax among the aircrew in order to give advice on aviation medical evaluation of the aircrew suffering from spontaneous pneumothorax. Methods The diagnosis, treatment and process of aviation medical evaluation of four cases of spontaneous pneumothorax among the aircrew were reviewed. Based on the above data, proposals on the evaluation of spontaneous pneumothorax among the crew were raised. Results Case 1 was granted qualification with limitation to double-seat aircraft, because he had some bullae and was prone to pneumothorax. Case 2 was granted temporary grounding because the course of treatment was not long enough following pneumothorax. He could possibly return flight in the future. Case 3 who was one of the Air Force personnel was granted qualification because his lung functioned well enough, but with limitation to double-seat aircraft. Case 4 was granted qualification because he was a helicopter pilot and his bullae did not need to be treated. Conclusion Times of recurrence, positio of blebs, types of aircraft and the desire of the aircrew to fly should all be considered when the aircrew suffering from spontaneous pneumothorax are evaluated for flight conclusion.