Analysis and aviation medicine evaluation of 19 cases of pulmonary bullae in pilots
10.3760/cma.j.issn.1007-6239.2020.01.003
- VernacularTitle:飞行员肺大泡19例临床特点及航空医学鉴定
- Author:
Yan HUANG
1
;
Guowei SHI
;
Huaiyu WANG
;
Jun ZHENG
;
Jingyu ZHANG
;
Yi LIU
Author Information
1. 空军特色医学中心呼吸与危重症医学科，北京 100142
- Publication Type:Journal Article
- Keywords:
Pulmonary bullae;
Aviation medicine evaluation;
Pilots
- From:
Chinese Journal of Aerospace Medicine
2020;31(1):13-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To provide reference for standardizing aviation medicine evaluation of pulmonary bullae in pilots by analyzing the clinical medical characteristics and aviation medicine identification.Methods:Data of 19 cases of pulmonary bullae of the pilots hospitalized in the Air Force Medical Center from 2010 to 2019 were collected. The pilots were divided into fighter group, bomber/transport/trainer group and helicopter group according to the aircraft type. The clinical and imaging characteristics and flight identification of each group were analyzed and compared.Results:Among 19 cases of pulmonary bullae in pilots, 6 cases were in fighter group, 7 cases in bomb / transport / trainer group (1 case for bomber, 4 cases for transporter and 2 cases for primary trainer) and 6 cases in helicopter group. There was no statistical differences on mean age, average flying hours, average height, average weight, average BMI, smoking history, and the proportion of spontaneous pneumothorax and thoracoscopic surgery among the groups ( P>0.05). The ratio of the diameter of bullae≥1 cm in fighter group were significantly higher than those in other two groups ( P<0.05); there was no significant differences on the ratio of the bullae in subpleural among the three groups ( P>0.05); the bullae in upper lung and multiple were common in all groups. Two cases were qualified and 4 cases were limited to fly double-seats aircraft in the fighter group; 4 cases were qualified and 3 cases were limited to fly double-seats aircraft in the bomber/transport/trainer group; 3 cases were qualified and 2 cases were limited to fly double-seats aircraft and 1case was disqualified. Conclusion:Aviation medicine evaluation of pulmonary bullae in pilots should comprehensively consider age, BMI, the history of spontaneous pneumothorax and the size, location and number of bullae, as well as the correspondence to aircraft type.
