目的　了解飞行人员原发性T波异常的发生情况及其临床和心电图特点。方法　对近 6年来入院疗养飞行人员的原发性T波异常 1 96例进行回顾性分析。结果　 1 96例原发性T波异常者 3 6%为病理性 ,86 2 %为功能性 ,1 0 2 %属正常变异。结论　现役飞行人员的原发性T波异常绝大多数属功能性T波异常 ,预后良好 ,一般不影响飞行。 Objective To understand the occurrence of primary T wave abnormalities in pilots and their clinical and electrocardiographic features. Methods One hundred and sixty-six cases of primary T-wave abnormalities in hospitalized recuperating pilots in recent 6 years were retrospectively analyzed. Results 366 cases of T wave abnormalities were 36% pathologically, 86.2% were functional, and 102% were normal. Conclusion Most of the active T-wave anomalies of active pilots belong to functional T-wave abnormalities with good prognosis and generally do not affect the flight.