矽肺结核的误诊并非少见,据文献报道,误诊率高达13.2～20%,对患者的预后影响较大。为总结本病误诊教训,现收集25例病史完整的误诊病例作临床分析,以提高本病的诊断水平,减少误诊。一般资料25例均为男性,年龄37～71岁,平均53.8岁。其中Ⅰ期矽肺结核2例(8%),Ⅱ期18例(72%),Ⅲ期5例(20%)。误诊时间最短15天,最长达3 Misdiagnosis of silicosis is not uncommon, according to the literature, the misdiagnosis rate as high as 13.2 to 20%, a greater impact on the prognosis of patients. To summarize the lessons of misdiagnosis of the disease, is now collected 25 cases of complete history of misdiagnosed cases for clinical analysis to improve the diagnosis of the disease, reduce misdiagnosis. General information 25 cases were men, aged 37 to 71 years, mean 53.8 years. Among them, 2 were stage Ⅰ silicosis (8%), 18 were stage Ⅱ (72%), and 5 were stage Ⅲ (20%). Misdiagnosis of the shortest 15 days, up to 3