目的探讨高千伏胸片示“肺纹理增多”在职业健康检查中的意义。方法选取江苏省常州市武进区疾病预防控制中心2011—2013年高千伏胸片报告“肺纹理增多”阳性病例78例进行分析。结果 78例“肺纹理增多”病例中,粉尘作业人员66例,酸雾酸酐作业人员12例。2例病例因肺纹理增多并伴小结节影,诊断为尘肺病;4例病例因有咳嗽咳痰症状,结合肺功能检查,确认与接触的职业病危害因素有关。结论在职业健康检查中对肺纹理增多应增强认识,充分了解出现肺纹理增多的各种原因,做出正确诊断。 Objective To explore the significance of high kvv chest radiograph in “occupational health examination”. Methods A total of 78 cases of positive lung imaging findings from 2011-2013 high kV chest radiograph report in Wujin District Center for Disease Control and Prevention, Changzhou City, Jiangsu Province were selected for analysis. Results Among the 78 cases of “increased lung markings”, 66 were dust workers and 12 were acid mist anhydride workers. Two cases were diagnosed as pneumoconiosis because of increased lung markings and nodules, and four cases were associated with cough and phlegm symptoms and pulmonary function tests, which were related to exposure to occupational hazards. Conclusions In the occupational health examination, we should know more about the increase of lung texture, fully understand the various reasons for the increase of lung texture, and make the correct diagnosis.