1 临床资料患者男性,37岁,强击机飞行员,飞行时间1400 h。反复颈背部酸痛9年,加重伴左手麻木20 d 入院。无明确外伤史,自觉左上肢下垂时肩背部酸胀,抬起时减轻。9年前曾因此住院理疗,症状缓解后归队飞行。此后常复发,飞行量大时,酸痛加重,休息后缓解。6年前开始每年发作4次以上,但均未在意,仍照常飞行。4年前拍 X 线片,诊断为“关节不稳”、“颈椎序列平直”、“颈椎病”。按摩、牵引及营养神经治疗20d 出院,结论飞行合格。近4年发作更频,仍未重视,也未向航医反映。每年疗养期间均拍 X 线片,均被诊断为“颈椎病”。行牵引、理疗、按摩后症状缓解,结论均为飞 1 Clinical data Male patient, 37 years old, attack aircraft pilots, flight time 1400 h. Repeated neck back sore for 9 years, aggravated with left numbness 20 d admission. No clear history of trauma, conscious left upper limb drooping shoulder soreness, lifted when relieved. 9 years ago hospitalized so that the symptoms ease rejoin the flight. Since then recurrence, when the flight volume, ache aggravated rest after remission. Six years ago, it started to attack more than 4 times a year, but did not care, and still fly as usual. 4 years ago to take X-ray film, diagnosed as “joint instability”, “cervical sequence straight”, “cervical spondylosis.” Massage, traction and nutritional nerve treatment 20d discharged, the conclusion of flight qualified. In the past 4 years, the episodes have been more frequent and have not been taken seriously and have not been reflected in the navigation system. During the annual convalescence X-ray films were diagnosed as “cervical spondylosis.” Line traction, physical therapy, post-massage symptoms, the conclusions are flying