Hari Sunil B, Morrow Michael S
United States Navy, Tinker AFB, OK 73145, USA.
Aviat Space Environ Med. 2012 Apr;83(4):445-8. doi: 10.3357/asem.3164.2012.
Nephrolithiasis is a common medical condition among aviation personnel that can negatively impact their health and careers. Due to the potentially severe consequences of in-flight renal colic associated with nephrolithiasis, current Navy regulations stipulate extensive evaluation for any aircrew member who has an instance of kidney stones.
Two cases of Naval aircrew members with kidney stones are reviewed and current Navy standards regarding nephrolithiasis are discussed.
Current Navy standards for granting aeromedical waivers for kidney stones do not differentiate between pilots in actual control of the aircraft and other aircrew members among aircraft personnel. Furthermore, a premium is placed on stone-free status, even for asymptomatic, incidentally found nephroliths. This policy has many similarities, but also significant differences from those of other services and those of civilian aviation authorities. This difference in protocols across aviation communities should be re-examined in order to promote more efficient return to flying duties of operational personnel without compromising safety of flight.
肾结石是航空人员中常见的病症，会对他们的健康和职业产生负面影响。由于与肾结石相关的飞行中肾绞痛可能产生严重后果，美国海军现行规定要求对任何有肾结石病史的空勤人员进行全面评估。
回顾了两例海军空勤人员肾结石病例，并讨论了海军目前关于肾结石的标准。
美国海军目前授予肾结石航空医学豁免的标准并未区分实际操控飞机的飞行员和飞机上的其他空勤人员。此外，即使是无症状的偶然发现的肾结石，也强调结石清除状态。这一政策与其他军种以及民航当局的政策有许多相似之处，但也存在显著差异。航空领域不同规程之间的这种差异应重新审视，以便在不危及飞行安全的情况下，促进作战人员更高效地恢复飞行任务。
