本文报告1956～1982年6,430例肺部手术中14例肺炎性假瘤和15例肺硬化性血管瘤,两者发生率为0.45%。由于本病临床少见,临床症状轻微,X线表现为球形病灶,故需与肺结核瘤、肺癌相鉴别,其最终诊断须依靠病理学检查。作者认为,对于鉴别诊断困难,或有明显的胸痛、血痰症状者,应尽早手术治疗。 This paper reports 14 cases of pneumonia pseudotumor and 15 cases of pulmonary sclerosing hemangiomas in 6,430 cases of lung surgery from 1956 to 1982, and the incidence rate was 0.45%. As the disease is rare in clinic, the clinical symptoms are mild, and the X-ray findings are spherical lesions. Therefore, it needs to be differentiated from pulmonary tuberculoma and lung cancer. The final diagnosis must rely on pathological examination. The author believes that for the differential diagnosis difficult, or have obvious chest pain, blood stasis symptoms, surgical treatment should be as soon as possible.