目的：讨论肝硬化伴肝肺综合征Ｘ线表现，分析其中意义。方法：分析经临床诊断有完整资料的３１例肝硬化伴肝肺综合征Ｘ线胸片。结果：肝肺综合征中Ｘ线表现如中下肺外带类似“海绵状”间质性改变，斑点影与粟粒点影，具有一定特异性。结论：除临床症状与血气检测等外，Ｘ线表现对诊断肝肺综合征意义重大 Objective: To discuss the X-ray findings of liver cirrhosis with hepatopulmonary syndrome and to analyze its significance. Methods: 31 patients with cirrhosis and hepatopulmonary syndrome who had complete data by clinical diagnosis were analyzed. Results: Hepatic-pulmonary syndrome in X-ray findings such as the middle and lower lungs with a similar “sponge-like” interstitial changes, speckle shadow and miliary point shadow, with a certain specificity. Conclusion: In addition to clinical symptoms and blood gas detection, X-ray findings are significant for the diagnosis of hepatopulmonary syndrome