在矽肺的诊断工作中,我们发现矽肺的早期病例及晚期病例中的某些特殊类型,其X 线表现,缺乏一般矽肺病例的发生发展规律,就是不按Ⅰ期→Ⅱ期→Ⅲ期这样一个过程演变,也即所谓的“跳级”,因此往往在轸断上造成困难,容易与肺结核、结核球、肺内肿瘤,或纵隔肿瘤等混淆,尤其是与肺结核的混淆,更是屡见不鲜,往往造成误诊,教训是较多的。本文收集四川地区的14例病案,其中三例有尸解资料,四例有外科手术及病理检查资料,其余依据一系列X线照片,以及可靠的职业史,我们认为是非典型矽肺,而收入本文中。 In the diagnosis of silicosis, we found that the early cases of silicosis and advanced cases of some special types of its X-ray findings, the lack of development and progression of the general case of silicosis, is not in accordance with the Ⅰ → Ⅱ → Ⅲ such a Process evolution, so-called “jump”, often causes difficulty in the break of Zhenzheng and is easily confused with tuberculosis, tuberculoma, lung tumor or mediastinal tumor, especially the confusion with tuberculosis, which is more common and often causes Misdiagnosis, the lesson is more. This article collected 14 cases in Sichuan Province, of which three cases of autopsy information, four cases of surgical and pathological examination data, the rest based on a series of X-ray photographs, and a reliable occupation history, we think it is atypical silicosis, and income in this article in.