摘要
目的分析民航飞行员冠状动脉-肺动脉瘘(coronary-pulmonary artery fistulas, CPAF)的影像学特征及其航空医学鉴定, 旨在提高其诊断及鉴定水平, 保障民航飞行安全。方法回顾2例民航飞行员CPAF的病历资料并复习相关文献资料, 总结该病的影像学特征、诊断及其航空医学鉴定。结果 2例飞行员均因参加年度体检行运动平板试验, 结果可疑阳性, 进一步行冠状动脉造影(coronary arteriography, CAG)确诊CPAF, 但均不需干预治疗。最终经特许飞行医学鉴定, 飞行合格。结论 CPAF是航空医学领域中一种极少见疾病, 目前主要依靠CAG确诊。如飞行员心肺功能良好, 无需干预治疗的, 可经特许医学鉴定为合格, 并定期复检、追踪随访。
Objective To analyze the imaging characteristics and aeromedical assessment of coronary-pulmonary artery fistulas(CPAF)of civil pilots in order to improve the level of diagnosis and identification of CPAF,and ensure the safety of civil flight.Methods The medical records of 2 cases of civil pilots with CPAF and the relevant literature were reviewed.Imaging characteristics,diagnosis methods and aeromedical assessment of CPAF were summarized.Results Both cases were suspected positive according to the treadmill exercise test in the annual physical examination and were further diagnosed as CPAF by coronary arteriography(CAG).No intervention was required for both cases.Finally,both pilots were waivered to flight.Conclusions CPAF is a rare disease in aviation medicine field.It is now mainly diagnosed by CAG.If pilots were with good cardiopulmonary function,they would not be required to take intervention,and could be waivered to flight when close observation and regular review applied.
作者
刘胜燕
李琦
蒙伟
Liu Shengyan;Li Qi;Meng Wei(Chengdu Civil Aviation Medical Center,Chengdu 610200,China)
出处
《中华航空航天医学杂志》
2021年第3期142-145,共4页
Chinese Journal of Aerospace Medicine
关键词
冠状血管
肺动脉
瘘
冠状血管造影术
合格鉴定
民航飞行员
Coronary vessels
Pulmonary artery
Fistulas
Coronary angiography
Eligibility determination
Civil pilots
