矽肺并发大中小型肺大疱较多见,有资料表明达20.4％。但并发巨型肺大疱则罕见,我们从我院10多年来的门诊和住院病人中仅见一例,兹报告如下。患者男性,50岁,X片号29006,某煤矿掘进工人,接尘工龄15年。1971年始劳动后感气急胸闷间断性咳嗽,1973年经摄胸片检查诊为矽肺I+T,并门诊抗痨治疗,1986年元月咳嗽、胸闷、气急加重,在矿职工医院经抗炎等综合治疗后症状有缓解,1年后复查胸片发现病情有进展而转诊我院,门诊以矽 Small and medium-sized pulmonary tuberculosis complicated by large bullae, data show that up to 20.4%. However, complicated with giant bullae is rare, we have only seen one outpatient and inpatient from our hospital for more than 10 years, are as follows. Male patient, 50 years old, X chip number 29006, a coal mine driving workers, dust service for 15 years. In 1971 after the beginning of work feeling irritable chest tightness intermittent cough, in 1973 by the chest X-ray examination diagnosed as silicosis I + T, and outpatient anti-tuberculosis treatment, January 1986 cough, chest tightness, aggravated, in the mine workers hospital by anti-inflammatory After treatment, the symptoms were relieved. One year later, the chest radiographs were reviewed for disease progression and referred to our hospital.