“天旋地转”常见的英文表达有 “the world seems to be spinning around” 或 “the heavens and earth are spinning” ，也可根据具体语境选用 “dizzy and disoriented” （侧重描述人头晕目眩、失去方向感的主观感受） 。
突然站起来，我感到天旋地转。（用“the world seems to be spinning around” ）
When I stood up suddenly, I felt the world seemed to be spinning around.
地震发生时，仿佛天旋地转。（用“the heavens and earth are spinning” ）
When the earthquake struck, it felt as if the heavens and earth were spinning.
她喝了太多酒，整个人天旋地转。（用“dizzy and disoriented” ）
She had drunk too much alcohol and was feeling dizzy and disoriented.