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目的：探讨ＩＰＨ胸部影像特点，及其病理基础和在诊断中的价值。方法：回顾性分析３６例特发性肺含铁血黄素沉着症（ＩＰＨ）１～８ａ追踪资料及１１２例次胸片。结果：本组首次胸片诊为ＩＰＨ者１８／３６例（５０％），误诊１５／３６例（４１％）；３例正常。胸部Ｘ线改变为呈进行性，初步分为四型：毛片型和间质浸润型，为早期表现可于短期内吸收；不可逆的网粒型及后遗症型。结论：结合典型临床表现，认真分析胸部Ｘ线特点能帮助诊断及鉴别诊断
Objective: To investigate the characteristics of IPH chest imaging, its pathological basis and its value in diagnosis. Methods: A retrospective analysis of 36 cases of idiopathic pulmonary hemosiderosis (IPH) 1 ~ 8a tracking data and 112 cases of sub-chest radiographs. Results: In this group, 18/36 cases (50%) were diagnosed IPH for the first time, 15/36 cases (41%) were misdiagnosed and 3 cases were normal. Chest X-ray was changed to be progressive, initially divided into four types: wool-type and interstitial infiltration, early performance can be absorbed in the short term; irreversible net type and sequelae. Conclusion: Combining typical clinical manifestations, careful analysis of the chest X-ray characteristics can help diagnosis and differential diagnosis