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目的 总结飞行员甲状腺功能亢进症 (甲亢 )治疗和医学鉴定的经验 ,为不断完善飞行员体格检查标准提供参考。 方法 回顾性分析 1983年 1月～ 2 0 0 3年 1月间 13例飞行员甲亢的临床治疗效果及其飞行鉴定结论。 结果 ①口服抗甲状腺药物治疗 12例 ,其中 9例甲状腺功能恢复正常 ,恢复飞行 ,3例于 2年后复发而手术治疗 ;②手术治疗 3例 ,均出现甲状腺功能减退 ,2例经甲状腺激素替代治疗后飞行合格 ;③ 1例恶性突眼病例用同位素治疗后停飞。 结论 ①飞行员甲亢患者 ,以口服抗甲状腺药物治疗作为首选 ,达到临床治愈标准 ,可恢复飞行 ;②甲亢手术治疗愈后合并甲减的运输机或轰炸机飞行员 ,经甲状腺激素替代治疗而使甲状腺功能正常者 ,也可恢复飞行。
Objective To summarize the experience of treatment and medical identification of pilots with hyperthyroidism (Hyperthyroidism) and provide reference for the continuous improvement of the medical examination standard for pilots. Methods A retrospective analysis of 13 cases of pilot hyperthyroidism between January 1983 and January 2003 clinical efficacy and flight identification results. Results ①Treatment with oral antithyroid drugs in 12 cases, of which 9 cases of thyroid function returned to normal flight recovery, 3 cases relapsed after 2 years and surgical treatment; ② Surgical treatment of 3 cases, both hypothyroidism, thyroid hormone replacement in 2 cases After treatment, the flight was qualified; ③ One case of malignant exophthalmos was grounded after treatment with isotopes. Conclusions ① The pilots with hyperthyroidism were treated with oral antithyroid drugs as the first choice to reach the clinical cure standard and resume the flight. ②Hyperthyroidism was used to treat the hypothyroidism or hypothyroidism of the transport aircraft or bomber pilots, and thyroid hormone replacement therapy resulted in normal thyroid function , Can also resume flight.