某航空公司2017—2019年导致备降返航的机上紧急医学事件分析  

Analysis of in-flight emergency medical events resulted in an alternate landing or return of an airline from 2017 to 2019

作　　者：王海峰[1] 卢江民 彭伟年[1] Wang Haifeng;Lu Jiangmin;Peng Weinian(Aviation Health Center of China Southern Airlines Co.Ltd.,Guangzhou 510405,China)

机构地区：[1]中国南方航空股份有限公司航空卫生中心,广州510405

出　　处：《中华航空航天医学杂志》2022年第4期223-227,共5页Chinese Journal of Aerospace Medicine

摘　　要：目的分析2017一2019年某航空公司导致备降返航的机上紧急医学事件的特点和病因,探讨机上紧急医学事件的应对策略。方法采用回顾性研究。收集某航空公司2017一2019年发生的机上紧急医学事件,统计其中导致备降返航事件旅客的年龄分布;按照《疾病和有关健康问题的国际统计分类(ICD-10)》标准对旅客突发疾病进行分类统计;统计备降返航后特殊旅客生存情况。结果①共发生机上紧急医学事件3696起,其中有84起(2.27%)导致备降返航。导致备降返航的机上紧急医学事件在旅客中的总发生率为0.201/10^(6);2017—2019年机上紧急医学事件在旅客中的发生率逐年下降,差异有统计学意义(χ^(2)=515.85,P<0.001)。②机上紧急医学事件旅客不同年龄组备降返航情况差异有统计学意义(χ^(2)=10.90,P=0.012),20岁以下和60岁以上旅客导致的备降返航率相对较高,其中60岁以上的人员29例,构成比为34.52%。③导致返备降航的机上紧急医学事件的旅客所患疾病以循环系统疾病最多(44.05%);其次为神经系统疾病(15.48%)和消化系统疾病(13.10%)。④导致备降返航的机上紧急医学事件中的旅客死亡6例,年龄6~73岁,癌症2例,心源性猝死4例。结论应加强乘机旅客健康知识宣教、乘机前医学审核以及机组人员急救培训,以减少机上医学事件的发生。Objective To analyze the characteristics and causes of in-flight emergency medical events resulted in an alternate landing or return from 2017 to 2019,and explore the coping strategies of in-flight emergency medical events.Methods Retrospective study was used.The in-flight emergency medical events of an airline from 2017 to 2019 were collected,and the age distribution of passengers who resulted in an alternate landing or return was calculated.The sudden diseases of passengers were classified according to the standards of International Statistical Classification of Diseases and Related Health Problems 10th Revision(ICD-10),and the survival of special passengers after an alternate landing or return was counted.Results ①There were 3696 cases of in-flight emergency medical events,84(2.27%)of which resulted in an alternate landing or return.The total incidence of in-flight emergency medical events resulted in an alternate landing or return was 0.201/10^(6)among passengers.The incidence of in-flight medical emergency medical events resulted in an alternate landing or return among passengers decreased from 2017 to 2019,and the difference was statistically significant(χ^(2)=515.85,P<0.001).②There was significant difference among different age groups(χ^(2)=10.90,P=0.012).The incidence of in-flight emergency medical events resulted in an alternate landing or return was higher among people under 20 and over 60 years old,and the constituent ratio was 34.52%.③Circulation system diseases(44.05%)was the commonest in the in-flight emergency medical events resulted in an alternate landing or return,then followed by nervous system diseases(15.48%)and digestive system diseases(13.10%).④Among the passengers in the in-flight emergency medical events resulted in an alternate landing or return,6 cases died,aged 6-73 years old,including 2 cases of cancer and 4 cases of sudden cardiac death.Conclusions Aviation health education of passengers,pre-flight medical audit and crew first aid training should be strengthened to reduce t

关 键 词：疾病 飞机 紧急医学事件 旅客 

分 类 号：R851[医药卫生—航空、航天与航海医学]