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1 临床资料患者男性,25岁,歼-7H 飞行员,飞行总时间400 h。平素健康,飞行耐力良好。2004年4月中旬,一次仪表飞行从4000 m 下降至2000 m(时速600 m/h,下滑率15 m/s)时前额部出现炸裂样胀痛。下飞机后,咽喉发于,痰中带有鲜红色血丝,次日晨起颜色转为暗红,活动后血色又变成鲜红。患者不以为然,坚持飞行到5月12日不见好转,才向航医反映。航医当即带他到地方医院专科就诊。检查见右耳鼓膜轻度充血,鼻黏膜充血,右颞侧黏膜增厚,见光滑结节,其它无特殊。咽部 CT 平扫显示鼻咽顶后壁增厚,表面光滑,鼻中隔向左偏曲、两侧下鼻甲黏膜增厚。诊断为鼻咽炎。予以对症治疗,未见好转,患者也未告知航医。5月15日再一次飞战斗特技,从12000 m 下降到2000 m 时(时速、下滑率同前)又出现前述症状。下飞机后头晕、咳血,并从鼻孔流出2～5 ml 鲜血。5月17日拍颈椎 X 线片,未见异常。
1 clinical data of patients male, 25 years old, J-7H pilots, the total flight time 400 h. Usually healthy, good flight endurance. In mid-April 2004, there was a burst-like pain in the forehead when an instrument flight was dropped from 4000 m to 2000 m (speed: 600 m / h, sliding rate: 15 m / s). After the plane, the throat in the hair, sputum with bright red bloodshot eyes, the color of the next morning into dark red, red blood after the event has become red. Patients do not agree, adhere to the flight to May 12 did not improve, only to the medical and medical response. Medical doctors immediately took him to the local hospital specialist treatment. Check see mild eardrum mild hyperemia, nasal congestion, right temporal mucosal thickening, see smooth nodules, the other no special. Throat CT scan nasopharyngeal thickening of the posterior wall, the surface smooth, nasal septum left deviation, both sides of the turbinate mucosa thickening. Diagnosis of nasopharyngitis. To symptomatic treatment, no improvement, the patient did not inform the medical and aviation. May 15 once again fly combat stunts, from 12000 m down to 2000 m (speed, the same as the previous decline rate) and the above symptoms. After the plane dizzy, hemoptysis, and outflow from the nose 2 ~ 5 ml of blood. May 17 film cervical X-ray film, no abnormalities.