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1.
高性能战斗机改装体检暂时飞行不合格原因分析   总被引:1,自引:0,他引:1  
目的总结航卫保障和高性能战斗机飞行员的改装体检经验。方法对高性能战斗机改装体检时结论为原机种暂时飞行不合格的75名飞行员资料进行综合分析。结果暂时飞行不合格原因中外科病症14例,神经精神科病症4例,内科病症13例,眼科病症3例,耳鼻咽喉科病症4例,特殊功能检查不合格38例,分别占原机种暂时飞行不合格的18.7%、5.3%、17.3%、4.0%、5.3%和50.7%。结论高性能战斗机飞行员改装体检所发现的原机种暂时飞行不合格的病症是前二代战机飞行安全的潜在隐患,须引起高度重视。  相似文献   

2.
高性能战斗机改装体检时暂时飞行不合格者的随访观察   总被引:1,自引:0,他引:1  
1 临床资料对高性能战斗机改装体检结论为原机种暂时飞行不合格的28名飞行员进行随访,均为男性,平均年龄32岁.  相似文献   

3.
新型歼击机飞行员健康状况随访分析   总被引:1,自引:0,他引:1  
目的了解2005—2010年间新型歼击机飞行员的健康状况。方法随访新型歼击机飞行员的健康状况116名,对其病症进行分析。结果37名35种病症为改装体检时发现,主要为颈腰椎病变、腰椎椎弓峡部裂、血脂异常、脂肪肝等;79名50种病症为飞新机型后所患,主要为运动外伤、脂肪肝、加速度耐力不良等。3名死亡,20名飞行不合格,11名暂时飞行不合格,85名飞行合格。结论应注意预防运动外伤的发生、矫治代谢异常及加速度耐力不良等,特别要注意防范严重飞行错觉。  相似文献   

4.
新型歼击机飞行员改装体检不合格原因分析   总被引:2,自引:2,他引:0  
目的分析新型歼击机飞行员改装体检不合格的原因。方法对2004—2008年间102名新型歼击机飞行员改装体检不合格的资料进行综合分析,并与我们曾报道的1999—2003年的相关资料比较。结果改装体检不合格的原因中,离心机检查未达标59例(58.4%),外科病症26例(25.7%),内科病症9例(7.9%),神经科病症4例(4.0%),耳鼻喉科病症3例(3.0%),眼科病症1例(0.9%)。与既往资料比较,离心机检查未达标比例上升,但因此导致最终停飞的比例明显下降。眼科病症比例下降。结论新型歼击机飞行员改装体检不合格的主要原因仍是离心机检查未达标和骨科病症。应加强飞行员生理机能训练及脊柱疾患的防治,解决好社会-心理问题。  相似文献   

5.
摘要:目的比较改装体检直升机和歼击机飞行员的颈腰椎病症状况。方法1127名飞行员改装体检时(直升机飞行员149名,歼击机飞行员978名),全部行颈腰椎x线和L4、L5螺旋cT检查;统计两组资料颈腰椎病症的总检出率,并分别统计颈椎病症、腰椎弓峡部裂和其他腰椎病症的检出率及对改装体检结论的影响。结果直升机飞行员颈腰椎病症的总检出率为41.6%(62/149),高于歼击机飞行员的28.3%(277/978)(X2=5.65,P〈0.05)。直升机飞行员颈椎病症的检出率为9.4%(14/149),高于歼击机飞行员的5.2%(51/978)(X2=4.16,P〈0.05);直升机飞行员腰椎弓峡部裂的检出率为4.0%(6/149),与歼击机飞行员的6.9%(67/978)的差异无统计学意义;直升机飞行员其他腰椎病症的检出率为28.2%(42/149),高于歼击机飞行员的16.3%(159/978)(Y。12.56,P〈0.01)。直升机飞行员因颈腰椎病造成改装体检飞行不合格的比率为0,歼击机飞行员为2.4%(23/978),差异有统计学意义(X2=10.23,P〈0.01)。结论颈腰椎病症在改装体检直升机飞行员中的检出率很高,应作为高性能武装直升机飞行员重点随访内容之一。  相似文献   

6.
目的探讨飞行人员脊髓空洞症的临床诊治及航空医学鉴定原则。方法分析我院2002-2014年收治的4例诊断为脊髓空洞症飞行人员的临床诊治及航空医学鉴定过程,复习国内外相关文献,提出飞行员脊髓空洞症的航空医学鉴定原则。结果 1例为高性能战斗机改装体检、1例因头部外伤、2例因颈部不适入院,均未出现分离性感觉障碍、肌肉萎缩症状,查体未见阳性体征,MRI检查提示脊髓空洞形成,电生理检查均正常,未治疗。4例均给予飞行合格结论,经1~12年的飞行观察病情无进展。结论患脊髓空洞症的飞行人员,飞行结论应根据病情、飞行机种、飞行职务、个人意愿等综合评定,如临床症状不典型,予以特许飞行。  相似文献   

7.
高性能歼击机具有高载荷、高持续性加速度的特性。因此,选拔歼击机飞行员的脊柱健康一直是航空医学十分关注的问题[1]。目前我军军事飞行学员健康选拔和飞行人员改装体检中,已经把脊柱X线片列为常规检查项目[2]。本研究对2010-2014年招飞复选中发现的107例脊柱异常体征及摄脊柱X线片进行分析,探讨报考军事飞行员的高中毕业生的脊柱疾病分布特点,并对应招对象进行健康教育指导。  相似文献   

8.
目的比较飞行人员年度体检和改装体检颈腰椎病症特点,为规范飞行人员颈腰椎病症的诊治和医学鉴定提供依据。方法12809名飞行人员年度体检时,对有颈腰椎病史者行查体和颈腰椎X线检查;978名飞行员改装体检时,全部行颈腰椎x线和L4、L5螺旋cT检查;统计两组颈椎病症、腰椎弓峡部裂和其他腰椎病症的检出率。结果1)飞行人员年度体检颈腰椎病总检出率为3.7%(477/12809),低于改装体检影像学普查颈腰椎病症28.3%(277/978)的总检出率(χ2=1063.53,P〈0.01)。2)飞行人员年度体检腰椎弓峡部裂检出率为0.2%(29/12809),低于改装体检腰椎弓峡部裂6.9%(67/978)的检出率(χ2=576.63,P〈0.01);飞行人员年度体检颈椎病和其他腰椎病检出率分别为2.3%(297/12809)和1.2%(151/12089),均低于改装体检颈椎病症5.2%(51/978)和其他腰椎病症16.3%(159/978)的影像学检出率(χ2=30.97vsχ2=939.95,P〈0.01)。3)飞行人员年度体检因颈腰椎病造成暂时飞行不合格比率为0.3%(34/12809),低于2.4%(23/978)的改装体检不合格比率(χ2=91.06,P〈0.01),但与0.2%(2/978)的改装体检暂时飞行不合格比率差异无统计学意义(χ2=0.001,P〉0.05)。结论飞行人员颈腰椎影像学检查的异常征象率高,但有许多并不构成疾病诊断。年度体检时依据病史、查体和选择性x线检查可满足需求;但改装体检时,应全部行颈腰椎x线及L4、L5螺旋CT检查,才能满足诊断和医学鉴定需求。  相似文献   

9.
目的 研究飞行员超龄特许体检疾病检出分布及飞行结论情况,为制定有关政策和评定标准提供参考。方法 对我院2008-2012年收住的118例超龄特许飞行员的病历资料进行统计分析。结果 40.7%的飞行员体检未见异常,在所检出的疾病中排序前10位的依次为高脂血症、脂肪肝、胆囊息肉、颈动脉硬化、肝囊肿、肾囊肿、甲状腺结节、腔隙性脑梗死、高尿酸血症和胆囊结石。97.5%的飞行员健康状况符合飞行人员体格检查标准,3名飞行员特许飞行不合格,所患疾病分别为高血压、颈动脉硬化和垂体瘤。结论 绝大部分达到最高飞行年龄的飞行员经飞行体检合格,可适当延长飞行年限;在体检中应重视代谢、消化和心脑血管疾病的检查和鉴定。  相似文献   

10.
背景 近年来,航空临床医学发生了深刻的变化,新的诊疗技术对飞行人员疾病的诊断、防治、鉴定都产生了深远影响.本文对我中心近10年军事飞行人员体检头颅核磁进行了分析.目的 探讨飞行人员体检头颅核磁共振检查结果的临床和航空医学鉴定意义.方法 选取2011年4月-2021年4月空军特色医学中心体检飞行人员资料,检查项目除年度大体检项目外,增加头颅MRI、MRV、MRA,包括常规头颅MRI平扫(T1WI、T2WI、T2Flair和DWI)、磁共振动脉血管成像(3DTOF-MRA)和磁敏感加权成像(SWI),对可疑病灶进一步行MRI增强检查.对检查结果进行分组,并给出相对应的航空医学鉴定建议.结果 本文共纳入364例飞行人员,均为男性,年龄22~46岁(平均30.9岁).正常组占83.0%;影像学表现异常但无临床和航空医学意义占1.1%,脉络膜囊肿2例、皮质钙化2例;影像异常但临床和航空医学意义不明确占8.8%,脑白质高信号26例、蛛网膜囊肿5例、空蝶鞍1例;影像异常且临床和航空医学意义明确占7.1%,脑动脉瘤3例、海绵状血管瘤3例、烟雾病1例,静脉瘤1例,垂体瘤或垂体囊性病变4例,鼻旁窦囊肿或炎症14例.经综合分析,飞行合格占96.1%,其中1例海绵状血管瘤飞行员降机种改轰炸机,1例微小动脉瘤飞行员降机种为直升机,1例巨大蛛网膜囊肿飞行员改无人机;暂时飞行不合格占3.3%;飞行不合格1例为垂体瘤,因其他疾病报停飞.结论 头颅核磁对飞行人员颅内疾病诊治有重要意义,但某些影像学改变给航空医学鉴定带来巨大挑战,其意义尚需深入研究.  相似文献   

11.
Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.  相似文献   

12.
Objective: To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods: SD rats served as both donors and recipients. 4℃ sodium lactate Ringer's was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava (IVC) inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results: Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion: This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.  相似文献   

13.
Shock wave lithotripsy (SWL) is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it's difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.  相似文献   

14.
Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.  相似文献   

15.
INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5  相似文献   

16.
Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P< 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P< 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.  相似文献   

17.
People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.  相似文献   

18.
FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…  相似文献   

19.
Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and > 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.  相似文献   

20.
Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.  相似文献   

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