目的:探讨海洛因依赖者伴肺结核的临床特点,诊疗结果,以提高对该类人群肺结核的诊断水平。方法:收集和分析2002年12月―2005年12月在我院住院的65例海洛因依赖者伴肺结核的临床资料。结果:男性63例,女性2例。平均年龄32±5.9岁。5例患者均符合CCMD-3关于阿片类物质依赖的诊断标准。其中血行播散型肺结核6例;继发性肺结核47例,痰涂片(+)25例,进展期45例,稳定期2例,合并空洞19例,合并结核性胸膜炎13例;结核性胸水12例,6例患粟粒性肺结核死亡4例,达66.7%。结论:吸毒人群结核病发病率呈上升趋势,是新滋生的结核病传染源群体。加之该人群HIV高感染趋势,对社会正常人群构成新的威胁。 Objective: To explore the clinical characteristics of heroin addicts with pulmonary tuberculosis, diagnosis and treatment results in order to improve the diagnosis of tuberculosis in this group of people. Methods: Clinical data of 65 heroin addicts with pulmonary tuberculosis who were hospitalized in our hospital from December 2002 to December 2005 were collected and analyzed. Results: There were 63 males and 2 females. The average age of 32 ± 5.9 years old. All 5 patients met the CCMD-3 diagnostic criteria for opioid dependence. Including hematogenous disseminated pulmonary tuberculosis in 6 cases; 47 cases of secondary pulmonary tuberculosis, 25 cases of sputum smear (+), 45 cases of advanced stage, 2 cases of stable period, 19 cases of merger cavity, 13 cases of tuberculous pleurisy; tuberculous pleural effusion 12 cases, 6 cases of miliary tuberculosis death in 4 cases, up to 66.7%. Conclusion: The incidence of tuberculosis in drug addicts is on the rise. It is a new source of tuberculosis infection. Coupled with the trend of high prevalence of HIV in the population, it poses a new threat to the normal population.