Discussion on aeromedical assessment standards of cholecystolithiasis in civil pilots
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胆囊结石多数无症状，部分可出现胆绞痛、腹痛、恶心或呕吐等症状，飞行因素可能会增加胆石症发病概率。我国民航重视胆囊结石的筛查和干预，预防性胆囊切除术是治疗首选。通过对比不同国家地区胆囊结石的航空医学鉴定标准，结合文献回顾，笔者认为部分无症状胆囊结石的医学失能风险在可接受的范围内，可考虑带石飞行。 The majority of gallstones was asymptomatic, and some of them had symptoms such as biliary colic, abdominal pain, nausea or vomiting. Flight factors might increase the incidence of cholelithiasis. China′s civil aviation had emphasized the screening and intervention of gallstones in civil aviation pilots, and prophylactic cholecystectomy was the first choice. By comparing the aeromedical assessment standards of gallstones and literature review, the author thinks that if the medical disability risk of some asymptomatic gallstones was within the acceptable range, the flying with stones would be considered.
The majority of gallstones was asymptomatic, and some of them had symptoms such as biliary colic, abdominal pain, nausea or vomiting. Flight factors might increase the incidence of cholelithiasis. China′s civil aviation had emphasized the screening and intervention of gallstones in civil aviation pilots, and prophylactic cholecystectomy was the first choice. By comparing the aeromedical assessment standards of gallstones and literature review, the author thinks that if the medical disability risk of some asymptomatic gallstones was within the acceptable range, the flying with stones would be considered.
CholecystolithiasisProphylactic cholecystectomyEligibility determinationCivil pilots
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