飞行员多发血管畸形一例

中华航空航天医学杂志 Pub Date : 2014-06-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2014.02.018

刘淑萍, 姚克纯, 李利, 汪娜, 张龙方, 徐雪纯, 张晓婷, 王建昌

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引用次数: 0

摘要

一、临床资料患者,男性,39岁,教练机-8飞行员,飞行时间3 570 h.患者因入睡困难2个月余,胸痛1个月就诊.入院查体:左侧上肢血压:104/70 mmHg(1 mmHg＝0.133 kPa),右侧上肢血压:134/76 mmHg,双侧收缩压相差30 mmHg,左锁骨上窝可闻及收缩期血管杂音.行颈部血管超声检查:双侧椎动脉起始处走行变异,均于C5水平人横突孔(图1,见封四);右侧椎动脉代偿性增宽,内径约0.41 cm,左侧椎动脉纤细,内径约0.08 cm.彩色及频谱多普勒检查显示:右侧椎动脉内血流通畅,峰值流速72.5 cm/s,左侧椎动脉血流呈反向血流信号(图2,见封四),峰值流速39.1 cm/s;左侧锁骨下动脉狭窄处呈花色血流信号,收缩期峰值流速347 cm/s. 关键词：锁骨下动脉盗血综合征(Subclavian steal syndrome);肠系膜动脉(Mesenteric arteries);肾动脉梗阻(Renal rtery obstruction);超声(Ultrasonography);体格检查(Physical examination);血管畸形(Vascular abnormalities) 分类号：R856.5

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飞行员多发血管畸形一例

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来源期刊

中华航空航天医学杂志航空航天医学

自引率

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发文量

2962

期刊介绍： The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.