目的总结航卫保障和高性能战斗机飞行员的改装体检经验。方法对高性能战斗机改装体检时结论为原机种暂时飞行不合格的75名飞行员资料进行综合分析。结果暂时飞行不合格原因中外科病症14例,神经精神科病症4例,内科病症13例,眼科病症3例,耳鼻咽喉科病症4例,特殊功能检查不合格38例,分别占原机种暂时飞行不合格的18.7%、5.3%、17.3%、4.0%、5.3%和50.7%。结论高性能战斗机飞行员改装体检所发现的原机种暂时飞行不合格的病症是前二代战机飞行安全的潜在隐患,须引起高度重视。 Objective To summarize the experience of modified pilot health checks and pilots of high performance fighter pilots. Methods The conclusion of high-performance fighter modified medical examination is that the data of 75 pilots who failed to fly temporarily were analyzed comprehensively. Results There were 14 cases of surgical illness, 4 cases of neuropsychiatric disorder, 13 cases of medical disorders, 3 cases of ophthalmic disorders, 4 cases of otolaryngology disorders, 38 cases of unqualified special function tests, 18.7%, 5.3%, 17.3%, 4.0%, 5.3% and 50.7% of unacceptable flights. Conclusion The unprovoked illness of the original aircraft of the high-performance fighter pilots during the modified medical examination is a potential hidden danger of the flight safety of the first two generations of fighters and must be given high priority.