Johnston Raymond V, Hudson Martin F
Aerospace Medical Association, 320 S. Henry St., Alexandria, VA 22314, USA.
Aviat Space Environ Med. 2014 Feb;85(2):191-4. doi: 10.3357/asem.3822.2014.
The suggestion that venous thromboembolism (VTE) is associated with air travel has for several decades been the subject of both "media hype" and extensive debate in the medical literature. As emotion and anecdote is often a feature in this debate, it is therefore necessary to separate evidence from anecdote. "Travelers' thrombosis" is a more appropriate term because the evidence suggests that any form of travel involving immobility lasting more than 4 h can predispose to thrombosis. There is no unique factor in the air travel cabin environment that has been shown to have any effect on the coagulation cascade. Prevention of thrombosis in any form of travel, including air travel, requires being aware of the issue and making an adequate risk assessment together with appropriate prophylactic measures.
几十年来，静脉血栓栓塞症（VTE）与航空旅行有关这一说法一直是“媒体炒作”的话题，也在医学文献中引发了广泛争论。由于情感和轶事往往是这场争论的特点，因此有必要将证据与轶事区分开来。“旅行者血栓形成”是一个更合适的术语，因为有证据表明，任何形式的持续超过4小时的不动旅行都可能引发血栓形成。没有证据表明航空旅行机舱环境中有任何独特因素会对凝血级联产生影响。预防任何形式旅行（包括航空旅行）中的血栓形成，需要了解这个问题，并进行充分的风险评估以及采取适当的预防措施。
