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飞行中的精神科急症

In-flight psychiatric emergencies.

作者信息

Matsumoto K, Goebert D

机构信息

Department of Psychiatry, University of Hawaii, John A. Burns School of Medicine, Honolulu 96813, USA.

出版信息

Aviat Space Environ Med. 2001 Oct;72(10):919-23.

Abstract

BACKGROUND

Although studies have been published regarding airline in-flight medical emergencies, there is a lack of any specific studies about in-flight psychiatric emergencies. This study seeks to ascertain the incidence of in-flight psychiatric emergencies, their associated factors, and outcomes.

METHODS

All in-flight calls for physician consultation to MedAire, a leading medical resource for airlines, during 1997 were reviewed for psychiatric symptomatology.

RESULTS

Of 1375 consultations, 3.5% were characterized as psychiatric, with a large majority (90%) of these cases presenting primarily as acute anxiety. Most of the psychiatric cases (69%) required arrangements for the passenger to be evaluated on arrival, and three cases required emergency flight diversion and landing.

CONCLUSIONS

This study suggests that an anxiolytic agent with a rapid onset may be indicated for the on-board medical kit.

摘要

背景

尽管已有关于航班飞行中医疗紧急情况的研究发表,但缺乏任何关于飞行中精神科紧急情况的具体研究。本研究旨在确定飞行中精神科紧急情况的发生率、相关因素及后果。

方法

回顾了1997年期间向航空公司主要医疗资源机构MedAire发出的所有机上医生咨询呼叫,以检查精神症状。

结果

在1375次咨询中,3.5%被定性为精神科问题,其中绝大多数(90%)病例主要表现为急性焦虑。大多数精神科病例(69%)需要安排乘客在抵达时接受评估,3例需要紧急转飞和降落。

结论

本研究表明,可能需要在机上医疗包中配备起效迅速的抗焦虑药物。

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