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1 临床资料 歼-6飞行员,36岁,飞行时间1300 h。既往身体健康,飞行耐力良好。1996年2月因偶发期前收缩、胸闷,住院检查。体检未发现期前收缩,心脏听诊未闻及病理性杂音。实验室检查、胸透、心电图及肝、脾B超检查均属正常。心脏彩色多普勒超声检查提示主动脉瓣(无冠瓣)脱垂并轻中度主动脉瓣关闭不全。心音图支持彩超结果。24 h动态心电图提示心肌轻度缺血,24 h动态血压在正常范围。诊断:主动脉瓣(无冠瓣)脱垂并轻中度主动脉瓣关闭不全。结论:飞行暂不合格。地面观察3个月后返院复查,结果与结论和首次住院一样。
1 clinical data F-6 pilots, 36 years old, flying time 1300 h. Past health, good flight endurance. February 1996 due to occasional premature contraction, chest tightness, hospitalization. Physical examination did not find premature contraction, cardiac auscultation and pathological murmur. Laboratory tests, chest X-ray, electrocardiogram and liver, spleen B-ultrasound are normal. Color Doppler sonography of the heart prompted aortic valve (non-coronary valve) prolapse and mild to moderate aortic regurgitation. Phonocardiography support color ultrasound results. 24 h Holter suggested mild myocardial ischemia, 24 h ambulatory blood pressure in the normal range. Diagnosis: aortic valve (non-coronary valve) prolapse and mild to moderate aortic valve insufficiency. Conclusion: The flight is temporarily unqualified. 3 months after the ground observation to return to the hospital review, the results and the conclusion and the same as the first hospitalization.