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題 名 | 飛行員無症狀膽結石之航空醫學考量=Aeromedical Consideration of Asymptomatic Gallstone (Cholelithiasis) Disease |
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作 者 | 李序麟; 李英杰; 呂孟銓; 游家祥; 黃仲麒; 蔡昇霖; | 書刊名 | 中華民國航空醫學暨科學期刊 |
卷 期 | 29:1/2 2015.12[民104.12] |
頁 次 | 頁55-59 |
分類號 | 412.85 |
關鍵詞 | 膽結石; 航空醫學; 缺點免計; Gallstone; Colic; Aviation medicine; Waiver guide; |
語 文 | 中文(Chinese) |
中文摘要 | 我國航空醫學教範中意外發現膽結石的空勤人員即判定為不合格,然大多案例其實無任何症狀,因此常衍生紛爭。本論文以膽結石疾病介紹、相關文獻、我國與外國教範規定及航空醫學鑑定做探討。膽結石患者通常沒有症狀,若有症狀常以膽道絞痛、腹痛、噁心嘔吐來表現,無症狀的膽結石除特殊情況通常只需觀察,有症狀的患者主要以手術治療。美國的航空醫學文獻證實無症狀的膽結石造成急性症狀的機會甚低,而預防性切除膽囊並不影響急性膽囊炎發生率,美國空、海軍教範對無症狀膽結石都已不強制要求治療。我軍可考慮據此修改教範,以保留我軍戰力。 |
英文摘要 | The symptoms of cholelithiasis include biliary colic, abdominal pain, nausea or vomiting. When these symptoms happen to pilots in air, they may cause incapacitation. However, the majority of people who have gallstones do not have symptoms; their stones remain "silent." Silent gallstones are often found on an ultrasound or CT scan done for other reasons. Military pilots with gallstones would be grounded according to current ROC aeromedical practice manual. In this article, we discuss the aeromedical consideration of gallstones. Those who presented with symptoms would be suggested to undergo surgery. Aeromedical consultation data from US Air Force showed that gallstones without symptoms rarely result in emergency. Moreover, prophylactic cholecystectomy in aviators had no impact on the incidence of cholecystitis. As a result, the US air force aeromedical guide was been revised and pilots with asymptomatic gallstones would not be forced to undergo prophylactic cholecystectomy. We should include this evidence-based medical practice into consideration when facing pilots with asymptomatic gallstones. |
本系統中英文摘要資訊取自各篇刊載內容。