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目的总结飞行人员血小板减少症的病因诊断、治疗及医学鉴定。方法回顾性分析我院收治的14例飞行人员血小板减少症患者的病史、诊断分类及治疗经过,疾病转归及医学鉴定。结果 14例中9例为原发免疫性血小板减少症(ITP),获得性低巨核细胞性血小板减少性紫癜(AATP)、继发性血小板减少症、脾功能亢进、原因不明的一过性血小板减少症、EDTA依赖性假性血小板减少症(EDTA-PTCP)各1例。9例ITP经治疗7例治愈,2例好转,仅1例暂时飞行不合格,其余8例均飞行合格;1例AATP患者好转,飞行合格;1例原因不明的一过性血小板减少症及1例EDTA-PTCP患者飞行合格。1例治愈的继发性血小板减少症患者,因其他疾病飞行不合格;1例脾功能亢进患者飞行不合格。结论飞行人员血小板减少可由多种原因引起,ITP占大多数,多数经治疗痊愈,飞行合格。少数是血小板生成不良、继发因素及假性血小板减少所致。继发因素所致血小板减少医学鉴定依原发病治疗结果而定。
Objective To summarize the etiological diagnosis, treatment and medical identification of thrombocytopenia in pilots. Methods Retrospective analysis of our hospital in 14 cases of pilots in patients with thrombocytopenia in the history, diagnosis and classification, and treatment, disease and medical identification. Results Of the 14 cases, 9 were primary immune thrombocytopenia (ITP), acquired low myelocytic thrombocytopenic purpura (AATP), secondary thrombocytopenia, hypersplenism, unexplained transient thrombocytopenia Reduce disease, EDTA-dependent pseudo-thrombocytopenia (EDTA-PTCP) in 1 case. Nine cases of ITP were cured by treatment of seven cases, two cases improved, only one case of unacceptable flight, the remaining eight cases were eligible for flight; 1 case of AATP patients improved flight qualified; 1 case of unexplained transient thrombocytopenia and 1 Cases of EDTA-PTCP patients were eligible for flight. One case of secondary thrombocytopenia was cured of other diseases due to unacceptable flight conditions; one patient with hypersplenism was unacceptable. Conclusions The thrombocytopenia in pilots can be caused by a variety of reasons, with the majority of ITPs, most of whom have been cured and have passed the flight. A small number of thrombocytopaenia, secondary factors and pseudo-thrombocytopenia caused. Secondary causes of thrombocytopenia medical identification according to the treatment of primary disease may be.