歼-7飞行员甲型流行性感冒一例

一、临床资料患者,男性,24岁,歼-7飞行员,总飞行时间460 h,现机种飞行时间100 h,因发热、咳嗽2 d于2009年11月28日住我院.患者于入院前2 d出现发热、咳嗽、咳痰、咽痛及乏力,体温38.5℃,部队航医给予"抗感冒药物"口服治疗,效果不佳.入院查体:体温39.0℃,咽部充血,心肺查体未见异常.     

歼-7飞行员甲型流行性感冒一例

一、临床资料 患者,男性,24岁,歼-7飞行员,总飞行时间460 h,现机种飞行时间100 h,因发热、咳嗽2 d于2009年11月28日住我院.患者于入院前2 d出现发热、咳嗽、咳痰、咽痛及乏力,体温38.5℃,部队航医给予"抗感冒药物"口服治疗,效果不佳.入院查体:体温39.0℃,咽部充血,心肺查体未见异常.     

高性能战斗机飞行员梦游症停飞一例

一、临床资料 患者男性,37岁,高性能战斗机飞行员,新机种飞行时间450 h,总飞行时间1550 h.因"夜间异常行为2次"于2008年5月人我院.患者于2007年1月17日1:30左右睡眠中突然起床、穿衣并出门,家属发现后呼叫其无反应.患者出门后,家属发现时间不对,电话通知其单位同事共同寻找,发现患者睡在营区花园小山坡上,同事护送患者到单位休息.     

跟腱断裂病例分析

例1,男,34岁,飞行副大队长,飞行时间1700 h,于1992年6月4日打蓝球时不慎左跟腱断裂;例2,男,44岁,飞行教员,飞行时间2400 h,于1992年6月9日打蓝球时不慎右跟腱断裂。两患者伤于同一水泥     

飞行员干眼致眩光一例

一、临床资料 患者男性,25岁,直-9飞行员,飞行时间250 h.因"双眼前光晕、重影2年余"于2008年10月14日入我院.患者于2005年12月无明显诱因出现双眼前光晕、轻度重影,无眼红痛等不适,无视物变形.在体系医院就诊,诊断"结膜炎",给予药物治疗,症状渐加重,影响夜间生活及飞行.     

飞行员飞行中发作冠心病1例

1 临床资料 患者,男性,38岁,高性能战斗机飞行员,飞行时间累计1634h,其中高性能战斗机飞行时间199h。2002年10月22日在跨昼夜飞行带教时出现胸闷,终止训练返回本场。航空军医及时建议撤消其当日其余飞行计划。翌日送空军     

飞行员抑郁症停飞一例

一、临床资料 患者，男性，39岁，教-8飞行员，飞行时间2600h。既往身体健康，飞行耐力佳。2013年1月7日因“颈椎间盘突出症”入院治疗。出院结论：暂时飞行不合格，地面观察1个月。     

高性能战斗机飞行员双眼视盘血管炎治愈一例

一、临床资料 患者男性,27岁,高性能战斗机飞行员,飞行总时间900 h,其中高性能战斗机飞行200 h.以右眼间歇性视物模糊2月,加重1周于2005年10月11日人院.患者于入院前2个月无明显诱因突然出现右眼视物模糊,无明显眼红、眼痛及头痛等不适,反复频繁发作,在当地医院诊断为视网膜中央静脉阻塞,给于活血化瘀、改善微循环及全身激素等治疗,症状逐渐加重,为进一步诊治来我院.     

飞行员角膜混浊放飞一例

一、临床资料 患者男性,45岁,运输机飞行员,飞行时间5507 h.患者以左眼异物感半月余,视力下降3 d,于2007年4月2日人体系医院.     

住院飞行人员暗适应异常分析

我院自1985年以来共收治因暗适应异常而入院治疗、医学鉴定的飞行人员7例,现报告如下: 一、对象与方法 1.对象:我院1985-2008年因暗适应异常而入院的飞行人员共7人.患者均为男性,年龄19～42岁,平均29.49岁;飞行时间130～3100 h,平均882.76 h.其中飞行员3名、射击主任1名、飞行教员1名、飞行学员2名.     

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.