直升机领航员创伤后应激障碍1例并文献复习

A cured case of helicopter navigator with post-traumatic stress disorder and literature review

目的分析军事飞行人员创伤后应激障碍的临床特征和诊断治疗。方法报道1例创伤后应激障碍直升机领航员的临床治疗过程,并复习相关文献。结果本例直升机领航员发病的直接诱因是单位发生一等飞行事故;以反复的创伤性体验、情绪低落、兴趣减退、持续的警觉性增高,如入睡困难、做噩梦等为主要临床表现,符合创伤后应激障碍诊断标准。经药物治疗,配合心理治疗,达到临床治愈。地面观察结束后,航空医学鉴定结论:飞行合格。结论应重视军事飞行人员心理筛查,提高对创伤后应激障碍的诊断意识,药物配合心理治疗是治愈此类疾病较好的方案。

Objective To analyze the clinical characteristics,diagnosis and treatment of post-traumatic stress disorder(PTSD)in military flying personnel.Methods The clinical treatment process of a helicopter navigator with PTSD were reported and the related literatures were reviewed.Results The direct inducement of this case was that the helicopter navigator experienced the influence of a first-class flight accident.The main clinical manifestations of this case were repeated traumatic experience,low mood,decreased interest and continuously increased alertness,such as difficulty in falling asleep and nightmares,which met the diagnostic criteria for PTSD.After drugs with psychological treatment,the patient was clinically cured.After the observation on ground,the patient was qualified for flight.Conclusions Emphasis should be placed on psychological screening to improve the diagnostic awareness of PTSD in military flying personnel.Drugs with psychological treatment may be a good method to cure such diseases.