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飞行人员恶性肿瘤术后安全放飞指征的临床研究
引用本文:孙宁东,郭徐林,张宁玲,王小玲,胡玲,刘培生,张腊大,陈世洪,李留成.飞行人员恶性肿瘤术后安全放飞指征的临床研究[J].中华航空航天医学杂志,2010,21(3).
作者姓名:孙宁东  郭徐林  张宁玲  王小玲  胡玲  刘培生  张腊大  陈世洪  李留成
作者单位:1. 解放军第四五八医院,广州,510602
2. 解放军第四五七医院,武汉,430012
摘    要:目的 研究和探讨我国飞行人员恶性肿瘤手术后放飞的安全标准. 方法 回顾分析38年间,经病理检查确诊为恶性肿瘤并进行外科手术的飞行人员病例资料,全组25例飞行人员恶性肿瘤术后放飞13例. 结果 本组13例恶性肿瘤术后放飞的飞行人员中,甲状腺癌4例、结肠癌3例、膀胱癌2例,胃癌、胰腺囊腺瘤、乳腺癌和耻骨软骨肉瘤各1例.经手术治疗及术后辅助治疗,13例病人机体状况恢复良好,鉴定结论 :飞行合格.术后随访3~38年,飞行时间30~2000 h,飞行状态良好. 结论 部分患恶性肿瘤的飞行人员,通过仔细认真的手术、正规的术后辅助治疗和护理、循序渐进的体能锻炼、定期严格的健康体检,可以达到飞行合格.作者提出了适合我国飞行人员恶性肿瘤术后恢复飞行的基本标准. Abstract: Objective To study and discuss the safety standard of flying qualification for the postoperative flying personnel with malignant tumor. Methods Related case history in past 38 years was retrospectively reviewed and sought 13 flying qualified cases out of 25 postoperative flying personnel with malignant tumor. Results Among 13 qualified cases there were 4 cases of thyroid carcinoma, 3 cases of colon carcinoma, 2 cases of bladder carcinoma and 4 cases respectively were gastric cancer, cystadenoma of pancreas, breast carcinoma and pubis osteochondrosarcoma. Those 13 cases were cured by operation and other adjuvant treatments and were diagnosed as well recovered. Since they were qualified for flying, the 3-38 years follow-up showed that they had fitted in flying for 30-2000 h. Conclusions Some flying personnel with malignant tumor would be qualified for flying by operation, proper adjuvant treatments and regular nursing, as well as the progressive physical exercise and under regular rigorous physical examination. The paper also puts forward a basic standard that suited for Chinese military flying personnel with malignant tumor.

关 键 词:飞行人员  恶性肿瘤术后  安全  放飞  临床研究  malignant  tumor  flying  personnel  thyroid  carcinoma  术后辅助治疗  operation  physical  exercise  bladder  carcinoma  外科手术  colon  carcinoma  gastric  cancer  basic  standard  case  history  胰腺囊腺瘤  循序渐进  体能锻炼

Clinical study on the indications of qualifying the postoperative flying personnel with malignant tumor
SUN Ning-dong,GUO Xu-lin,ZHANG Ning-ling,WANG Xiao-ling,HU Ling,LIU Pei-sheng,ZHANG La-da,CHEN Shi-hong,LI Liu-cheng.Clinical study on the indications of qualifying the postoperative flying personnel with malignant tumor[J].Chinese Journal of Aerospace Medicine,2010,21(3).
Authors:SUN Ning-dong  GUO Xu-lin  ZHANG Ning-ling  WANG Xiao-ling  HU Ling  LIU Pei-sheng  ZHANG La-da  CHEN Shi-hong  LI Liu-cheng
Abstract:Objective To study and discuss the safety standard of flying qualification for the postoperative flying personnel with malignant tumor. Methods Related case history in past 38 years was retrospectively reviewed and sought 13 flying qualified cases out of 25 postoperative flying personnel with malignant tumor. Results Among 13 qualified cases there were 4 cases of thyroid carcinoma, 3 cases of colon carcinoma, 2 cases of bladder carcinoma and 4 cases respectively were gastric cancer, cystadenoma of pancreas, breast carcinoma and pubis osteochondrosarcoma. Those 13 cases were cured by operation and other adjuvant treatments and were diagnosed as well recovered. Since they were qualified for flying, the 3-38 years follow-up showed that they had fitted in flying for 30-2000 h. Conclusions Some flying personnel with malignant tumor would be qualified for flying by operation, proper adjuvant treatments and regular nursing, as well as the progressive physical exercise and under regular rigorous physical examination. The paper also puts forward a basic standard that suited for Chinese military flying personnel with malignant tumor.
Keywords:Neoplasms  Surgical procedures  operative  Eligibility determination
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