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评估患者的航空旅行适宜性。

Assessing Patients for Air Travel.

机构信息

Division of Pulmonary, Critical Care, Sleep Medicine and Physiology, University of California San Diego, San Diego, CA.

Division of Pulmonary, Critical Care, Sleep Medicine and Physiology, University of California San Diego, San Diego, CA.

出版信息

Chest. 2021 May;159(5):1961-1967. doi: 10.1016/j.chest.2020.11.002. Epub 2020 Nov 16.

DOI:10.1016/j.chest.2020.11.002
PMID:33212136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8579310/
Abstract

Advising patients before air travel is a frequently overlooked, but important, role of the physician, particularly primary care providers and pulmonary specialists. Although physiologic changes occur in all individuals during air travel, those with underlying pulmonary disease are at increased risk of serious complications and require a specific approach to risk stratification. We discuss the available tools for assessment of preflight risk and strategies to minimize potential harm. We also present a case discussion to illustrate our approach to assessing patients for air travel and discuss the specific conditions that should prompt a more thorough preflight workup.

摘要

在航空旅行前为患者提供建议是医生(尤其是初级保健医生和肺部专家)经常被忽视但却很重要的职责。尽管所有个体在航空旅行期间都会发生生理变化,但那些患有基础肺部疾病的人发生严重并发症的风险增加,需要对其进行特定的风险分层。我们讨论了评估飞行前风险的可用工具和最大限度减少潜在危害的策略。我们还提出了一个病例讨论,以说明我们评估患者航空旅行的方法,并讨论了应促使更彻底的飞行前检查的具体情况。

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2
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本文引用的文献

1
Are pulmonologists well aware of planning safe air travel for patients with COPD? The SAFCOP study.肺病学家是否非常了解为 COPD 患者规划安全的航空旅行?SAFCOP 研究。
Int J Chron Obstruct Pulmon Dis. 2019 Aug 22;14:1895-1900. doi: 10.2147/COPD.S210854. eCollection 2019.
2
Air Travel for Subjects Receiving Long-Term Oxygen Therapy.接受长期氧疗患者的航空旅行
Respir Care. 2018 Mar;63(3):326-331. doi: 10.4187/respcare.05522. Epub 2018 Feb 6.
3
Physiological predictors of Hypoxic Challenge Testing (HCT) outcomes in Interstitial Lung Disease (ILD).生理预测指标在间质性肺疾病(ILD)缺氧挑战测试(HCT)结果中的应用。
Respir Med. 2018 Feb;135:51-56. doi: 10.1016/j.rmed.2017.12.015. Epub 2018 Jan 8.
4
Travel with CPAP machines: how frequent and what are the problems?携带 CPAP 机器旅行:频率如何,有哪些问题?
J Travel Med. 2018 Jan 1;25(1). doi: 10.1093/jtm/tax085.
5
Pre-flight evaluation of adult patients with cystic fibrosis: a cross-sectional study.成年囊性纤维化患者的飞行前评估:一项横断面研究。
BMC Res Notes. 2017 Feb 6;10(1):84. doi: 10.1186/s13104-017-2386-2.
6
Outcomes of medical emergencies on commercial airline flights.商业航班上的医疗紧急情况的结果。
N Engl J Med. 2013 May 30;368(22):2075-83. doi: 10.1056/NEJMoa1212052.
7
Hypoxaemia in patients with pulmonary arterial hypertension during simulated air travel.肺动脉高压患者在模拟航空旅行中出现低氧血症。
Respir Med. 2013 Feb;107(2):298-304. doi: 10.1016/j.rmed.2012.10.007. Epub 2012 Nov 3.
8
Air travel and chronic obstructive pulmonary disease: a new algorithm for pre-flight evaluation.航空旅行与慢性阻塞性肺疾病:飞行前评估的新算法。
Thorax. 2012 Nov;67(11):964-9. doi: 10.1136/thoraxjnl-2012-201855. Epub 2012 Jul 5.
9
Effects of commercial air travel on patients with pulmonary hypertension air travel and pulmonary hypertension.商业航空旅行对肺动脉高压患者的影响——航空旅行与肺动脉高压。
Chest. 2012 Oct;142(4):885-892. doi: 10.1378/chest.11-2016.
10
Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations.为患有稳定期呼吸道疾病的乘客规划航空旅行:英国胸科学会的建议。
Thorax. 2011 Sep;66 Suppl 1:i1-30. doi: 10.1136/thoraxjnl-2011-200295.