Everett W D
Ehrling Bergquist USAF Regional Hospital, Offutt AFB, NE.
Aviat Space Environ Med. 1988 Nov;59(11 Pt 1):1089-93.
Spontaneous pneumothorax is infrequently diagnosed in aircrew personnel, but the aeromedical disposition of such cases provokes spirited controversy. Using the technique of decision analysis, epidemiological information is analyzed so that consequences of conservative vs. operative management can be appreciated. Data do not support a dogmatic approach to spontaneous pneumothorax. Flight surgeons will need to continue to make their recommendations on aeromedical disposition considering the patient, flight duties, and operational environment.
自发性气胸在空勤人员中很少被诊断出来,但此类病例的航空医疗处置引发了激烈的争论。运用决策分析技术,对流行病学信息进行分析,以便能够认识到保守治疗与手术治疗的后果。现有数据并不支持对自发性气胸采取教条式的治疗方法。飞行外科医生将需要继续根据患者、飞行任务和作战环境,对航空医疗处置提出建议。