类风湿性疾病的胸内表现很多,最常见者为胸膜渗液,类风湿性病患者对非特异性的急性或慢性支气管肺感染的发病率也有所增加。回顾以往文献记载类风湿性病的肺部表现,常见者如纤维性肺泡炎、肺内类风湿性结节、尘肺伴发类风湿性结节等。罕见者如肺动脉高压伴肺动脉内膜增厚,急性肺浸润伴胸膜心包炎和进行性气道阻塞等。近期文献报导1例类风湿性病伴发肺上叶纤维化。本文报告4例类风湿性患者伴发肺上叶纤维化和空洞形成。全部患者经反复痰检结核杆菌、茀状菌均为阴 Thoracic manifestations of rheumatoid disease are many, the most common pleural effusion, rheumatoid disease in patients with non-specific acute or chronic bronchial lung infection incidence has also increased. Review of previous literature documented rheumatoid pulmonary manifestations, common, such as fibrosing alveolitis, pulmonary rheumatoid nodules, pneumoconiosis associated rheumatoid nodules. Rare people such as pulmonary hypertension with pulmonary intimal thickening, acute pulmonary infiltrates with pleural pericarditis and progressive airway obstruction. Recently reported in the literature 1 cases of rheumatoid disease associated with pulmonary fibrosis. This article reports 4 rheumatoid patients with pulmonary fibrosis and voids. All patients after repeated sputum test Mycobacterium tuberculosis, fungus are Yin