Article(id=1208791313701532503, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1208791311621157694, articleNumber=null, orderNo=null, doi=10.11855/j.issn.0577-7402.2021.11.12, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1614873600000, receivedDateStr=2021-03-05, revisedDate=1625673600000, revisedDateStr=2021-07-08, acceptedDate=null, acceptedDateStr=null, onlineDate=1766127907442, onlineDateStr=2025-12-19, pubDate=1638028800000, pubDateStr=2021-11-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1766127907442, onlineIssueDateStr=2025-12-19, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1766127907442, creator=13701087609, updateTime=1766127907442, updator=13701087609, issue=Issue{id=1208791311621157694, tenantId=1146029695717560320, journalId=1189873630562394117, year='2021', volume='46', issue='11', pageStart='1061', pageEnd='1164', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1766127906946, creator=13701087609, updateTime=1766128932678, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1208795613920104935, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1208791311621157694, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1208795613920104936, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1208791311621157694, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=1136, endPage=1140, ext={EN=ArticleExt(id=1208791314028688235, articleId=1208791313701532503, tenantId=1146029695717560320, journalId=1189873630562394117, language=EN, title=Research progress on asymptomatic and unruptured intracranial aneurysms in pilots, columnId=1190243275882729994, journalTitle=Medical Journal of Chinese People’s Liberation Army, columnName=Review, runingTitle=null, highlight=null, articleAbstract=

Due to the wide application of noninvasive angiography in the health examination or central nervous system disease treatment, more and more pilots with asymptomatic and unruptured intracranial aneurysms (UIAs) have been found. Most asymptomatic UIAs are still in "static phase" for a long time, but a few of them can grow gradually, even rupture and bleed suddenly,which may have the risk of disability in the sky. The risk factors of rupture for UIAs include patient's factors, aneurysm's factors,hemodynamics and flight related factors. Interventions include medical treatment, intracranial aneurysm clipping and endovascular treatment. The selection of the treatments need to weigh the risk of aneurysm rupture and surgical complications of UIAs. At present, there are no opinions and aeromedical evaluation criteria for asymptomatic UIAs in pilots nationally and internationally.Therefore, it is necessary to conduct multidisciplinary and individual assessment.

, correspAuthors=Jin Shi, authorNote=null, correspAuthorsNote=, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, authorCompany=null, fund=null, authors=null, authorsList=Da-Wei Chen, Jin Shi), CN=ArticleExt(id=1208791314355843970, articleId=1208791313701532503, tenantId=1146029695717560320, journalId=1189873630562394117, language=CN, title=飞行人员无症状未破裂颅内动脉瘤研究进展, columnId=1190243276029530637, journalTitle=解放军医学杂志, columnName=综述, runingTitle=null, highlight=null, articleAbstract=

由于无创血管成像技术在改装体检和中枢神经系统疾病检查中的广泛应用，越来越多的飞行人员无症状未破裂颅内动脉瘤(UIAs)被发现。大多数无症状UIAs长期处于“静止期”，但少数可逐渐生长甚至突然破裂出血，具有空中失能的风险。飞行人员UIAs破裂的危险因素包括患者因素、动脉瘤因素、血流动力学和飞行因素等，干预措施包括内科治疗、开颅动脉瘤夹闭手术和血管内介入术等，需权衡UIAs的破裂风险及手术并发症加以选择。目前国内外尚无针对飞行人员无症状UIAs的处理意见和航空医学鉴定标准，需进行多学科的个体评定。该文就飞行人员无症状UIAs的诊断、流行病学、危险因素、干预措施及航空医学鉴定等的研究进展进行综述。

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陈大伟，医学博士，副主任医师，主要从事脑血管病和神经变性疾病的研究

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