血小板增多症之航空醫學考量及缺點免計規範探討

Thrombocytosis: aeromedical and waiver consideration

林庭毅(Ting-Yi Lin) ； 林鈺維(Yu-Wei Lin) ； 莊奕翰(Yi-Han Jhuang) ； 林政彥(Cheng-Yen Lin) ； 蔡明航(Ming-Hang Tsai) ； 吳佩宣(Pei-Hsuan Wu)

《中華民國航空醫學暨科學期刊》 30卷2期 (2016/12) Pp. 127-136

https://doi.org/10.7011/JAMSROC.201612_30(2).0006

摘要

血小板增多症，意味著血小板數量超過正常值，易導致血栓及栓塞，此外，血小板功能不全也可能造成出血現象，針對這些潛藏的危機，在航空醫學中更需要進行嚴格的評估與把關。我國航空醫務教範以血小板數量來訂定體格檢查標準，並未針對血小板增多症缺點免計條件提供依據。本文將此疾病做一簡單介紹，探討血小板增多症於飛航安全之顧慮及風險，並引用各國體檢標準及缺點免計指引，提出航空醫學考量與缺點免計之處置建議。期許本文能作為我國日後訂定航空醫學缺點免計規範之參考。

關鍵字

血小板增多症 ； 本態性血小板增多症 ； 航空醫學考量 ； 缺點免計

並列摘要

Thrombocytosis is a condition in which the platelet counts exceed the upper limit of normal range. Patients with thrombocytosis may have increased risk of thrombosis and embolism. Besides, thrombocytosis is frequently associated with platelet dysfunction which could increase bleeding tendency. Considering its possible complications, pilots diagnosed with thrombocytosis need in-depth assessment during aeromedical evaluation. In our current aeromedical guideline, qualification standards for platelet count were established but the wavier criteria for thrombocytosis were sparsely mentioned. In this article, we briefly introduced thrombocytosis and discussed the aeromedical concerns of this disease. Furthermore, current aeromedical wavier guides and standards of different countries were discussed. We hope this article can be used as a reference in the future for the development of our own aeromedical wavier guide.

並列關鍵字

thrombocytosis ； essential thrombocytosis ； aeromedical consideration ； waiver