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目的探讨飞行人员眩晕症的特点，为今后诊治和鉴定提供参考。方法根据１９５８～１９９７年４０年间与眩晕症有关的１５６例２５４人次病案资料进行分析。其中歼击机飞行员１０１例，轰炸机飞行员８例，运输机飞行员１４例（其中１例女性），直升机飞行员２例，领航员１２例，空中通讯、机械和乘务员１９例（其中民航女乘务员１例）。结果①因眩晕症鉴定飞行不合格６２例，占３９．７％（６２／１５６）；②１５６例年龄分布：２１岁以下组５例，２１～２５岁组１９例，２６～３０岁组４７例，３１～３５岁组４１例，３６～４０岁组２５例，４１岁以上组１９例；③１５６例中，有明显前庭性眩晕症病的５１例，占３２．７％，因此而停飞的３２例，本组中梅尼埃病有８例，占５．１３％；④神经、心血管、内科等疾病引起的眩晕症４８例，占３０．８％，其中血管性和自主神经功能紊乱在发病中占有重要位置；⑤临床检查无异常发现者有５７例，占３６．５％。其中６例飞行不合格。结论正确的明确诊断是处理好眩晕症的关键问题。临床上应舍弃单一的检测方法，对前庭系统、心血管因素、自主神经系统反应等方面的检测手段更应重视，做好综合评定工作。
Objective To investigate the characteristics of vertigo in pilots and provide references for future diagnosis and treatment. Methods Based on 156 cases with 254 cases of vertigo related to vertigo from 1958 to 1997 for 40 years. Among them, there were 101 fighter pilots, 8 bomber pilots, 14 transport pilots (1 female), 2 pilot pilots, 12 pilot pilots, 19 air traffic, mechanics and flight attendants (including 1 female flight attendant). Results ①There were 62 cases (39.7%) of unidentified flights due to vertigo. (62/156); 156 cases of age distribution: 5 cases under 21 years old, 19 cases 21 to 25 years old, 47 cases 26 to 30 years old 41 cases in 31-35 years old group, 25 cases in 36-40 years old group and 19 cases in group over 41 years old. In 51 cases, there were 51 cases with obvious vestibular vertigo, accounting for 32.7% 32 cases, the group Meniere’s disease in 8 cases, accounting for 5.13%; ④ nerve, cardiovascular, medical and other diseases caused by vertigo 48 cases, accounting for 30.8%, of which vascular and autonomic dysfunction Occupying an important position in the pathogenesis; ⑤ no abnormal findings in clinical examination were 57 cases, accounting for 36.5%. Six of them failed the flight. Conclusions Correct and accurate diagnosis is the key issue to deal with vertigo. Clinical should give up a single detection method, the vestibular system, cardiovascular factors, autonomic nervous system reactions and other aspects of detection methods should pay more attention to make a comprehensive assessment.