Voge V M, Anthracite R
Aviat Space Environ Med. 1986 Oct;57(10 Pt 1):939-49.
Spontaneous pneumothorax (SP) is infrequently diagnosed in aircrew personnel. However, once it is diagnosed, aircrew disposition becomes a serious concern. To evaluate this problem, a literature review was conducted to put the disease into proper perspective. A questionnaire was then sent to all aircrew in the United States Air Force waiver file who had suffered SP in order to gain a retrospective view of problems and situations encountered. The following areas were investigated: recurrences, height, weight, age, smoking history, initial medical management, symptomatology, activity at time of occurrence, relationship to flight duties, treatment given and personal/family history of lung disease. A review of FAA, military, and NASA guidelines regarding personnel with a history of SP was also done. It is concluded that SP is an unrecognized hazard to aircrew personnel. Once an SP has been diagnosed in an individual, he/she should be grounded from further flight duties until either 9 years have elapsed without a recurrence or there has been a bilateral parietal pleurectomy.
自发性气胸（SP）在空勤人员中很少被诊断出来。然而，一旦被诊断出来，空勤人员的处置就成为一个严重问题。为了评估这个问题，我们进行了文献综述，以便正确看待这种疾病。然后向美国空军豁免档案中所有曾患自发性气胸的空勤人员发送了一份问卷，以便对所遇到的问题和情况有一个回顾性的了解。调查了以下几个方面：复发情况、身高、体重、年龄、吸烟史、初始医疗处理、症状、发病时的活动情况、与飞行任务的关系、所接受的治疗以及个人/家族肺部疾病史。我们还对联邦航空管理局（FAA）、军方和美国国家航空航天局（NASA）关于有自发性气胸病史人员的指导方针进行了审查。得出的结论是，自发性气胸对空勤人员来说是一种未被认识到的危害。一旦在个人身上诊断出患有自发性气胸，他/她应停飞，直到9年无复发或进行了双侧壁层胸膜切除术。
