飞行人员鼻腔结构异常的诊治和鉴定

发布时间：2018-07-27 12:44

【摘要】：目的总结飞行人员鼻腔结构异常(鼻中隔偏曲和鼻甲肥大)的临床诊治和健康鉴定经验。方法分析因鼻腔结构异常而住院诊治的飞行人员病历资料91份,对其进行分类和分型,总结鼻腔结构异常的分型与继发性气压伤之间的关系。结果飞行人员鼻腔结构异常分类为I类(地面有症状或体征)50例,II类(地面无症状或体征、飞行中出现继发性气压伤,包括IIa继发性鼻窦气压伤10例,IIb继发性耳气压伤26例,IIc继发性鼻窦气压伤+耳气压伤5例)41例。分型为鼻中隔偏曲型41例,下鼻甲肥大型29例,中鼻甲肥大型8例,鼻中隔偏曲复合鼻甲肥大型13例。鼻中隔偏曲24例次、下鼻甲肥大12例次、中鼻甲肥大14例次与继发性气压伤有关。85例飞行合格,1例由歼击机降为运输机飞行,2例暂时飞行不合格,3例永久停飞。结论鼻腔结构异常在飞行人员中常见,根据对鼻窦和耳气压功能的影响进行分类和分型具有重要的临床航空医学意义,在飞行学员医学选拔、飞行人员疾病诊治和健康鉴定时统一操作规范,是提高招飞体检质量及疾病诊治和健康鉴定水平,保障航空兵部队战斗力的重要措施。
[Abstract]:Objective to summarize the clinical diagnosis and health identification experience of abnormal nasal cavity structure (nasal septum deviation and hypertrophy of nasal concha). Methods 91 medical records of pilots were analyzed and classified in hospital for abnormal nasal structure, and the relationship between the classification of abnormal nasal structure and secondary air pressure was summarized. The abnormal classification of nasal cavity structure of pedestrians was classified into 50 cases (I with symptoms or signs on the ground), class II (no symptoms or signs on the ground, secondary air pressure in flight, 10 cases of IIa secondary paranasal barotrauma, 26 secondary air pressure injuries of IIb, 5 cases of IIc secondary nasal barotrauma + ear pressure injury), and 41 cases of nasal septum deflection type, inferior turbinate There were 29 large cases of fertilizer, 8 cases of middle turbinate fertilizer, 24 cases of nasal septum deflection, 12 cases of nasal septum deviation, 12 cases of inferior turbinate hypertrophy, 14 cases of middle turbinate hypertrophy and secondary air pressure related to.85 flight, 1 cases falling from fighter plane to transport aircraft, 2 temporary flight disqualification, 3 cases of permanent stop flight. Conclusion nasal structure is different. It is often common among pilots. It is of important clinical aviation medical significance to classify and classify the effects of the sinus and ear barometric functions. The unified operation standard in the medical selection of the flight cadets, the diagnosis and treatment of the flight personnel and the health identification is to improve the quality of the medical examination and the level of disease diagnosis and health identification, and the guarantee of the aviation soldiers. An important measure of the fighting capacity of the army.
【作者单位】：空军总医院全军临床航空医学中心;
【基金】：空军后勤部资助项目(KH0819011)
【分类号】：R765.2;R85

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