Abstract: Objective:To investigate the incidence and the related risk factors of pulmonary bullae in divers.Methods:A total of 132 divers and 98 non-diving personnel were selected from a unit. According to chest CT and X-ray results,pulmonary bullae were diagnosed. The smoking history,diving experience,age,COVID-19 history within three months,and pneumonia history were collected and statistically analyzed.Results:There was no case of pulmonary bullae found by chest X-ray. The CT scan diagnosed 11 divers(8.33%)and five non-diving personnel(5.10%)with pulmonary bullae. Engaging in diving over 10 years is a risk factor for pulmonary bullae in divers;while age over 30 years is a risk factor for developing pulmonary bullae in non-diving personnel.Conclusion:Engaging in diving over 10 years and age over 30 years are the risk factors for developing pulmonary bullae. Therefore,it is necessary to include chest CT as a pulmonary disease screening into the diver selection and annual health examination,so as to improve the detection rate of pulmonary bullae.