飞行人员胆囊结石特点（4218名飞行人员临床调查）

为了了解飞行人员胆囊结石发病、诊治情况、临床特点以及对飞行安全影响等，我们于１９９５年５ 月至 １９９７ 年５ 月随机对４２１８ 名飞行人员进行了临床调查。结果：４２１８ 名中发现胆囊结石患者１８９例，患病率为 ４．５％ 。临床特点：男性多（１８５ 例占 ９７．８％ ）；４０ 岁以上者多（１４３ 例占７５．７％ ）；单纯胆囊结石多（１６８ 例占８８．８％ ）；胆囊多发结石多（１４４ 例占 ７６．２％ ）；有症状胆囊结石多（１１０ 例占 ５８．２％ ）；带石飞行多（１０４ 例占５５．０２％ ）；手术治疗少（７０ 例占３７．０３％ ）。临床调查证实：胆囊切除术是治疗飞行人员胆囊结石安全、可靠、有效的方法，术后能够达到飞行合格标准。结论：对空军飞行人员和民航驾驶员的胆囊结石不论有无症状，在恢复飞行之前必须施行航空医学性胆囊切除术以保障飞行安全

The Features of Gallstone in Pilots --a Clinical Survey in 4218 Pilots

The purpose of this study was to find out the incidence,diagnosis treatments and clinical features of gallstone which would jeopardize the flight security in pilots.The random clinical survey was made in 4218 pilots in May 1995 to May 1997.Results 189 cases had gallstone in 4218 pilots the case rate was 4.5%.Clinical Features 185 cases were male(97.8%);143 cases were more than 40 years old(75.7%);168 cases were simple gallstone(88.8%);144 cases had multiple stones(76.2%);110 cases had symptoms(58.2%);104 cases had flown(55.02%);70 cases were performed cholecystectomy(37.03%).Verification of Clinical Survey cholecystectomy is a safety.reliable and effeetive method for treating gallstones in pilots who could pass the flight standard ofter operation.Conclusion whether yes or no symptoms aeromedical cholecystectomy must be performed before resume flying in pilots of Air Force or driver of CAAC with gallstone,it can ensure the flight security.