摘要
搭乘飛機長途旅行與靜脈栓塞之間是否相關，一直是個爭議性的醫學問題。與長途搭機旅行相關的靜脈栓塞以往被稱為「經濟艙症候群」，主要反映出在狹窄的環境中，缺氧、缺乏運動、水分攝取不足等因素可能與血栓症的發生有關。一直到最近數年，旅行相關的靜脈栓塞的發生率、危險因子、發生機轉，纔漸為人了解。由於這些症狀不限於飛機這項交通工具，世界衛生組織提出了「旅行者血栓症」一詞來涵蓋旅行相關的血栓症。 旅行者血栓症最早在文獻上的記載已有近六十年，臨床症狀根據栓塞的血管系統之不同而異，本文將針對此病症作回顧之，並將預防之道及治療方法整理陳述，文中同時引述世界衛生組織白皮書對旅行者血栓症之具體建議。
並列摘要
The possibility of an association between air travel and venous thrombosis has been a topic of much debate for a long time. Travel-associated thrombosis had been named ”economy-class syndrome”, reflecting the unique nature of crowed space associated with dehydration, relative hypoxia and lack of exercise as predisposing factors to the development of thrombosis during prolonged flight. It was not until recently, the incidence, risk factors and mechanisms of travel-associated thrombosis has gradually been understood. Because thrombosis during or after travel was also identified in vehicles other than airplane, 「traveler's thrombosis」 was coined to represent The earliest record in literature about traveler's thrombosis could be traced back to about six decades. Clinical presentations depends on which vessel system was thrombosed. This article reviews current understanding of traveler's thrombosis and summarized preventive measures and treatment of this rare but important disease. WHO consensus on this disease was also reported.
延伸閱讀
- 黃任億、陳威達、許文祥、洪惟泉（2010）。航空旅行與靜脈栓塞。台灣急診專科醫師期刊，2(1)，1-5。https://doi.org/10.29749/JTCEP.201003.0001
- 蕭世美、黃明珠、林靜薇、許立奇（2014）。缺血性腦中風病人使用血栓溶解劑後嚴重度改變量之相關因素研究。榮總護理，31(2)，176-185。https://doi.org/10.6142/VGHN.31.2.176
- 黃世銘、王水深（2015）。靜脈血栓栓塞的流行病學及防治。台北市醫師公會會刊，59(3)，15-21。https://www.airitilibrary.com/Article/Detail?DocID=P20110322001-201503-201503300010-201503300010-15-21
- 林育弘、陳皙堯（1991）。血管栓塞。當代醫學，(207)，40-42。https://doi.org/10.29941/MT.199101.0010
- 林庭毅、林鈺維、莊奕翰、林政彥、蔡明航、吳佩宣（2016）。Thrombocytosis: aeromedical and waiver consideration。中華民國航空醫學暨科學期刊，30(2)，127-136。https://doi.org/10.7011/JAMSROC.201612_30(2).0006