目的 :为了解海洛因滥用者的临床与胸部 X线改变。材料与方法 :对 2 540例海洛因滥用者的胸部临床表现和胸部 X线改变进行了分析。结果 :临床表现咳嗽 2 2 34例(87.95% ) ,胸闷 2 4 6 1例 (96 .84 % ) ,喘鸣 10 2例(4 .0 2 % )。胸部 X线表现异常率高达 79.6 5%。其中支气管炎 1912例 (75.2 8% ) ,肺结核 142例(5.59% ) ,肺气肿 6 70例 (2 6 .38% ) ,肺炎 154例(6 .0 6 % ) ,胸水 131例 (5.16 % )。结论 :提示了海洛因滥用者对肺部的严重并发症 ,应引起更大的关注 Purpose: To understand the clinical and chest X-ray changes of heroin abusers. Materials and Methods: Clinical manifestations and chest X-ray changes of 2 540 abusers of heroin were analyzed. Results: The clinical manifestations were cough 2 2 34 cases (87.95%), chest tightness 2 461 cases (96.84%) and wheezing 102 cases (4.2%). Chest X-ray abnormalities rate as high as 79.6 5%. Bronchitis was found in 1912 cases (75.2%), tuberculosis in 142 cases (5.59%), emphysema in 670 cases (26.38%), pneumonia in 154 cases (6.66%), pleural effusion in 131 cases ). Conclusions: It is suggested that serious complications of heroin abusers should be given more attention to the lungs