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飞行员发生一氧化碳中毒比较少见,对其健康鉴定在空军飞行员体验标准中没有规定。现将我们收治的一名飞行员一氧化碳中毒后健康鉴定报告如下: 男,30岁。歼6飞行员。飞行时间100h,因一氧化碳中毒后出现头晕、失眠,记忆力下降一年入院。该患者于1991年4月在家休假时发生煤气中毒。当时感头晕,恶心,起床时曾晕倒,但无意识丧失及大小便失禁,曾呕吐2次,未经治疗。返回部队后仍感头晕,失眠,记忆力下降。住军区空军医院诊断为“一氧化碳中毒后遗症。”经高压氧舱及谷维素等治疗,效果不佳。出院后地面观察一月,9月再次入院,经治疗症状无明显改善。结论:“飞行不合格”。后经有关部门决定送我院复查结论。既往飞行耐力良好,自1992年9月以来患者症状逐渐减轻,已无明显不适。 入院体检及实验室检查未见异常。心电图,脑电图、脑血流图,脑地形图均未发现异常。头部CT正常。低压舱5000m乏氧耐力正常。心理学检查、以韦氏智力量表检测表明,在记忆与思维方面没有发现问题。最后诊断:健康。结论飞行合格。
Pilot carbon monoxide poisoning is relatively rare, its health appraisal in the Air Force pilot experience standards are not provided. Now we have a pilot certified carbon monoxide poisoning health report as follows: Male, 30 years old. J-6 pilots. Flight time 100h, due to carbon monoxide poisoning after dizziness, insomnia, memory loss one year admission. The patient gas poisoned when she was on holiday at home in April 1991. The feeling of dizziness, nausea, fainted when getting up, but unconscious loss and incontinence, vomiting twice, untreated. After returning to the army still feel dizzy, insomnia, memory loss. Military Hospital Air Force Hospital diagnosed as “carbon monoxide poisoning sequelae.” After hyperbaric oxygen chamber and oryzanol and other treatment, the effect is not good. Observed on the ground after discharge January, September again hospitalized, no significant improvement after treatment of symptoms. Conclusion: “Flight failed.” After the decision by the relevant departments to send our hospital review conclusions. Past flight endurance is good, since September 1992 the patient’s symptoms gradually reduced, no obvious discomfort. Admission examination and laboratory tests showed no abnormalities. Electrocardiogram, EEG, cerebral blood flow diagram, brain topography were found no abnormalities. Head CT is normal. Low pressure cabin hypoxia tolerance 5000m normal. Psychological tests, as measured by Webster’s Intelligence Scale, showed no problems in memory and thinking. The final diagnosis: health. Conclusion flight qualified.