1 临床资料 患者,男性,49岁,运-8空勤通信员,飞行时间3880h。右上肢颤抖伴无力7年。无发热及外伤史。否认家族史。发病无明显诱因。起初患者不在意,不影响飞行,也未向航医及时报告。三个月后在一次飞行准备中被航医发现其右手随意功能差,经详细了解病史,偶有颤抖、疼痛、乏力等不适,考虑为“颈椎病”,经临时停 1 clinical data patients, men, 49 years old, Yun-8 aircrew, flight time 3880h. Right upper limb trembling with weakness 7 years. No fever and trauma history. Denied family history. No obvious cause of the disease. At first, the patient did not mind, did not affect the flight, nor timely report to the flight attendant. Three months later, he was found by aviation medical doctors in his flight preparation to have poor function of his right hand at random. After a detailed history, occasional shivering, pain, fatigue and other discomfort were considered as “cervical spondylosis”