Moore J L, McDonald W A
Naval Aerospace and Operational Medical Institute, Department of Psychiatry, Naval Air Station, Pensacola, FL 32508.
Aviat Space Environ Med. 1993 Nov;64(11):1051-4.
The authors describe a case of chronic depression in a designated Naval Aviator with a concomitant history of hypothyroidism. The differential diagnosis of dysthymia is discussed and the associated therapeutic alternatives are reviewed. The case demonstrates the importance of comprehensive physical and psychiatric evaluation of those patients with complex or atypical presentations. Issues pertaining to the aeromedical disposition of such patients are discussed, with emphasis on the role of the flight surgeon.
作者描述了一例患有慢性抑郁症且伴有甲状腺功能减退病史的指定海军飞行员病例。讨论了心境恶劣障碍的鉴别诊断，并回顾了相关的治疗选择。该病例表明，对那些临床表现复杂或不典型的患者进行全面的身体和精神评估非常重要。讨论了与此类患者航空医疗处置相关的问题，重点强调了飞行外科医生的作用。
