民航招飞无症状性透明隔囊肿的航空医学鉴定——附4例报告  

Aviation medical assessment of asymptomatic septum pellucidum cyst in civil aviation recruitment--4 case reports

作　　者：李晓龙 武将[2] 闫浩 刘瑞峰 汪庆[2] Li Xiaolong;Wu Jiang;Yan Hao;Liu Ruifeng;Wang Qing(Civil Aviation Medicine Center Chengdu,Chengdu 610095,China;Civil Aviation Medical Center,CAAC,Beijing100123,China)

机构地区：[1]成都民用航空医学中心,成都610095 [2]中国民用航空总局民用航空医学中心,北京100123

出　　处：《中华航空航天医学杂志》2022年第4期231-234,共4页Chinese Journal of Aerospace Medicine

摘　　要：目的探讨民用航空招收飞行学生无症状性透明隔(septum pellucidum, SP)囊肿的航空医学鉴定。方法分析招飞体检中检出的4例无症状性SP囊肿者的初检和复检临床资料, 并进行国内外文献复习。结果 3例为招飞初检中检出SP增宽, 复检中行头颅MRI复查, 经专家组讨论后诊断为SP囊肿;1例为复检中依据影像学资料首次诊断为SP囊肿。4例均无临床症状。依据《民用航空招收飞行学生体检鉴定规范》有关规定, 4名学生招飞体检结论均为不合格。结论 SP囊肿在招飞待选学生中比较少见, 且多数表现为无临床症状, 但后期发展可造成严重颅脑损害, 危及飞行安全。头颅MRI检查可明确诊断。体检医师在招飞体检中应加深对无症状性SP囊肿等少见疾病的认识。Objective To investigate the aeromedical assessment of asymptomatic septum pellucidum(SP)cyst in civil aviation pilot candidates.Methods The clinical data of 4 pilot candidates with asymptomatic SP cyst collected in the physical examination and recheck for recruitment were analyzed and relevant literatures were reviewed.Results Three cases were found with widened SP in the physical examination for civil aviation pilot candidates,and were further diagnosed as SP cyst by cranial MRI in recheck.One case was found with SP cyst by medical imaging in recheck but the initial physical examination.None of them had any clinical symptoms.According to Medical Specification for Recruitment of Civil Aviation Airman Trainees,4 civil aviation pilot candidates were eliminated.Conclusions SP cyst is very rare in civil aviation pilot candidates,and most of them are asymptomatic.But it may cause severe craniocerebral damages with further development and endanger safety of flight.Cranial MRI can give definitive diagnosis.Aviation medical examiners should strengthen their understanding of such rare diseases as asymptomatic SP cyst in the physical examination for recruitment.

关 键 词：透明隔 囊肿 体格检查 人员选用 招飞学生 

分 类 号：R851.3[医药卫生—航空、航天与航海医学]