高性能歼击机沙漠地区飞行航卫保障举要

前不久,我部执行演习任务,大多数情况下是在沙漠地区低高度、大速度飞行,相对于平原、丘陵,沙漠地区飞行,尤其是低空、超低空飞行,航卫保障有其自身的特点。下面谈一谈我们在执行任务中的具体做法。 1 高性能歼击机沙漠地区飞行对飞行人员的影响 1.1沙漠地区飞行易产生视疲劳 沙漠地区地形、地貌单一,色泽单纯,缺少地标。高性能歼击机的座     

飞行人员鼻窦囊肿39例报告

飞行人员鼻窦囊肿是一种常见疾病。我们对来院疗养的飞行人员进行常规检查,发现鼻窦囊肿41例,其中39例资料完整,现就这些病例进行分析如下: 1 临床资料 患者均为男性飞行人员,年龄27—39岁。39例鼻窦囊肿同时忠有慢性鼻窦炎。患有慢性鼻炎31例,变态反应性鼻炎5例,3例无慢性鼻炎史。鼻窦囊肿患者中有15例曾患有鼻窦气压性损伤。 患者主诉均有不同程度的单侧或双侧间歇性鼻塞,鼻腔分泌物多,为粘涕或脓涕。前额部钝痛6例,眼     

民航飞行员神经衰弱停飞一例

一、临床资料患者28岁,波音747副驾驶,总飞行时间1843h。患者2002年8月参加波音747飞行3个月后自觉睡眠状况差,有心前区压榨感,多次到航医门诊就诊,服用镇静安眠药物疗效不佳;查抗溶血性链球菌素O、血沉未见异常;心肌酶仅肌酸激酶稍高(32U/L),余均正常;24h Holter示:窦性心律不齐。休息两周后症状缓解,再次执行航班飞行任务后自觉症状加重,自述“过夜期间在驻地几乎全睁着眼无法入睡1h以上,飞行过程中头痛、胸闷,难受得情绪几乎要爆发”,无法继续执行飞行任务,暂时停飞,地面观察治疗。考虑其主诉多但辅助检查阳性结果少,建议看心理专科门…     

揿针联合穴位按摩对缓解飞行(学)员视疲劳的效果观察

观察揿针联合穴位按摩对飞行(学)员视疲劳缓解的临床疗效。选取2018年7月—2021年7月场站医院收治的患视疲劳飞行(学)员60例, 按照患者自愿原则分为对照组30例和观察组30例。对照组采用常规传统方法治疗, 观察组则在对照组方法基础之上, 给予揿针联合穴位按摩的方法治疗。经揿针联合穴位按摩方法治疗后的飞行(学)员对视疲劳症状的缓解程度高于对照组, 差异有统计学意义(χ2=12.27, P<0.001)。揿针联合穴位按摩对缓解飞行(学)员视疲劳作用显著, 此疗法操作简单、安全有效, 值得基层航空兵部队推广应用。     

空勤疗养员疲劳测试分析

目的 探讨我军现行的飞行人员疗养制度和方法对消除疲劳的实效。方法 将252名疗养的飞行人员按机种分3组进行自觉疲劳症状调查和闪光融合值、简单反应时、选择反应时测试。结果 疗养30天前后自觉疲劳症状明显改善。歼击机组、运输机组疗养后疲劳消除程度显著(P<0.05)。轰炸机组疗养后疲劳消除程度也有减轻。结论 疗养措施对消除飞行人员的疲劳有明显作用。用闪光融合值、简单反应时作检查疲劳程度的指标不灵敏。     

住院飞行人员医疗文书书写方法的商榷

飞行人员住院病历书写有不同于一般病人的特殊内容和要求 ,但又没有统一的书写规格和内容要求 ,我们从医院空勤科角度介绍一些写法如下 :1关于住院病历 :在一般项目内要写上现飞机种和飞行总时间、空勤特有职称和部队番号。如为来院大体检或改装体检 ,则在主诉栏填写大体检或改装体检即可。在病史中一定要描述平时飞行与疾病的关系 ,即疾病对飞行的影响和飞行对疾病的影响 ,飞行耐力如何 ,平衡机能情况 ,在飞什么课目 ,什么飞行状态出现什么症状等。对飞行结论的主诉 ,要有证实材料。飞行结论不能遗忘 ,应书写在出院小结的诊断之后。 2关于…     

肝胆肾外科疾病飞行结论的临床掌握

《飞行人员体格条件》是飞行人员体检检查的标准 ,是一个纲领性文件 ,不可能详尽地做出很细的规定。我们在做飞行人员体检结论时 ,对体格条件中未明确的一些内容坚持从严掌握以确保飞行安全。多年来临床实践证明是可行的 ,其具体内容是 :1胆囊结石、胆管结石、肝内胆管结石无自觉症状 ,战斗机飞行、通信、领航、射击人员不合格 ;轰炸机、运输机、教练机正驾驶飞行不合格 ;其他人员合格。肝囊肿、肝血管瘤飞行合格 ,定期复查。 2肾结石无自觉症状 ,尿常规正常 ,飞行合格 ,定期复查 ;有症状的及时诊治。肾囊肿、肾血管瘤、肾钙化灶、多囊肾飞…     

飞行人员屈光不正对调节力的影响

飞行人员在飞行中,须不时地观察地标及舱内各种仪表,并须迅速准确地作出判断。所以眼调节力的好坏是关系到飞行安全、更好地完成训练及战斗任务的重要因素。 为了解飞行人员患屈光不正后调节力有元变化,我们对屈光不正及正视眼飞行人员的调节力进行了对比测定,初步探讨两者的关系,旨在寻找除生理老化外使调节力减退的其它因素。     

飞行人员颈性头痛调查分析

头痛是飞行人员的常见主诉,表现多样,但对飞行人员颈性头痛发作及其演变情况的报道很少。为此,我们对来我院疗养的飞行人员进行了调查。 1 对象与方法 1.1 对象 来院疗养的现役男性飞行人员,共2 369名,年龄22～46岁,飞行时间250～3 400 h,平均1 700 h。其中歼、强击机飞行员980人,运输     

多导睡眠分析系统在住院空勤人员中的应用及护理干预（摘要）

目的探讨多导睡眠分析系统在飞行员群体中应用的护理干预重点。方法对70例有睡眠异常主诉的飞行人员进行整夜多导睡眠监测（包括脑电图、眼动图、下颌肌电图、口鼻气流、胸腹呼吸运动、血氧饱和度、体位、心电图、鼾声等），注意检查前宣教，检查中细致讲解及各导联放置准确，检查结束后注意仪器的保养、维护以及对患者进行睡眠健康指导。结果本组70例被检飞行员中单纯鼾症18例，轻度阻塞性睡眠呼吸暂停综合征2l例，中度16例，重度15例。     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.