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在飞行人员中冠心病心肌梗死时有发生,对飞行安全是一种严重威胁。最近几年我科先后收治4例严重冠状动脉狭窄和(或)心肌梗死病人,现予报道,以引起航卫人员对飞行人员冠心病一级预防的重视。 1 病例 例1 男性,歼击机飞行员。1989年(39岁)出现间断性胸闷和心前区不适,1993年(43岁)出现广泛ST-T改变.以Ⅰ、Ⅱ、Ⅲ、aVF、aVL和V_3～V_6导联改变为主,ST段呈缺血型压低0.2～0.3mV,T波倒置,呈冠状T。1997年(47岁)首次住我院,心肌放射性核素计算机断层摄影示左室后侧壁、下壁血流灌注显著减低,前壁局限性血流轻度减低。
Coronary heart disease in the flight crew from time to time myocardial infarction, the flight safety is a serious threat. In recent years, our department has admitted to 4 cases of severe coronary artery stenosis and / or myocardial infarction patients, are reported to arouse the flight attendants to the first-class prevention of coronary heart disease attention. 1 Case 1 male, fighter pilot. There was intermittent chest distress and precordial discomfort in 1989 (39 years old), and extensive ST-T changes occurred in 1993 (age 43). The changes of ST-T were mainly Ⅰ, Ⅱ, Ⅲ, aVF, aVL and V_3 ~ V_6 and ST Section was ischemic depression 0.2 ~ 0.3mV, T wave inversion, was coronary T. 1997 (47 years old) first hospitalized, myocardial radionuclide computed tomography showed left ventricular posterior wall, inferior wall perfusion was significantly reduced, limited anterior wall blood flow slightly reduced.