超聲心動圖檢出飛行員先天性心臟病的醫學鑒定價值
摘要：目的 探討超聲心動圖檢出現役飛行員先天性心臟病對招飛體檢工作的意義. 方法 回顧性分析9年間在我院超聲科行超聲心動圖檢查的現役飛行員中,因行超聲心動圖檢查首次診斷為先天性心臟病的患者的影像學資料. 結果 發現先天性心臟病患者10例,其中主動脈瓣畸形4例,均為二瓣畸形;房間隔缺損3例,均為繼發孔型房間隔缺損;冠狀動脈瘺1例;永存左上腔靜脈伴冠狀靜脈竇擴張2例.10例患先天性心臟病的飛行員9例飛行結論 為飛行不合格,1例飛行結論 為暫時飛行不合格. 結論 超聲心動圖檢查在診斷現役飛行員先天性心臟病的過程中具有準確、安全、快捷的特點,是明確診斷的首選方法.因此,如條件允許,超聲心動圖應列為招飛體檢的常規檢查項目. Abstract： Objective To evaluate the value of echocardiography in the diagnosis of active pilot's congenital heart disease (CHD) and the applicable reference to pilot recruiting. Methods Medical data of active pilots' were gathered by taking the chance of physical exam in past 9 years'.CHD cases that were firstly diagnosed by echocardiography were reviewed. Results Among 10 picked cases of CHD,4 were bicuspid aortic valve deformity,3 were secundum-type arterial septal defect,1 was coronary artery fistula and 2 were persistent left superior vena cava with coronary sinus expansion.Only 1 pilot was enventually assessed as temporary grounding while the other 9 were disqualified. Conclusions Echocardiograph exhibits such advantages as accurate,safe and facile,and would be the first choice in diagnosing of CHD.Therefore,echocardiograph exam is suggested as a routine item in pilot recruiting physical exam.
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