摘要
目的通过复习1例航空性鼻窦炎的病程特点及文献回顾,探讨航空性鼻窦炎的发病机制、治疗策略及预防措施。方法回顾性研究1例航空性鼻窦炎患者的病史及治疗经过。患者男,37岁,民航客机飞行员。入院前4个月自觉双侧轻度鼻阻,伴嗅觉减退,未行治疗。10 d前飞机上升过程中出现右侧额部及头痛,药物治疗后改善。次日飞机爬高时再度出现右额部及头部剧烈疼痛,药物治疗无效。入院后行功能性内窥镜鼻窦手术,术后结合药物治疗。结果患者行功能性内窥镜鼻窦手术后2个月鼻腔鼻窦黏膜正常,恢复飞行,飞行中无不适症状。结论患慢性鼻窦炎的飞行员易出现继发性,上升型航空性鼻窦炎,额窦多见。患慢性鼻窦炎的飞行员出现航空性鼻窦炎症状后应尽快行功能性内窥镜鼻窦手术。患慢性鼻窦炎的患者药物治疗无效后即应行功能性内窥镜鼻窦手术,预防航空性鼻窦炎的发生。
Objective To investigate the etiology, management strategy and prevention of aerosinusitis with case report and literature review. Methods The history and management of a case of aerosinusitis were retrospectively studied. The patient was male, 37 years old, and a civilian pilot. He felt mild nasal congestion and decrease of olfactory 4 months before admission. He felt right side frontal pain and headache during ascent and recover with treatment with medicine l0 days ago. He experienced fierce right side frontal pain and headache the following day during ascent, with no effect with medicine. The patient received functional endoscopic sinus surgery after admission and treated with combined medicine. Results The mucosa in the nasal cavity and sinus healed and the patient return his duty 2 months after surgery. No symptom appeared during aviate. Conclusion Pilots with chronic sinusitis tend to suffer from secondary, ascent aerosinusitis and should receive functional endoscopic sinus surgery right after symptoms of aerosinusitis appear. Pilots with chronic sinusitis should receive functional endoscopic sinus surgery when medicine treatment failed, which can prevent the occurrence of aerosinusitis.
出处
《当代医学》
2014年第7期21-22,共2页
Contemporary Medicine
基金
陕西省社发攻关项目(2012 K 16-10-02)
