系统性红斑狼疮为一种自身免疫性疾病.可侵犯全身多种器官,侵犯胸部引起心肺病变约占患者的1/2以上,其 X 线表现多种多样,容易造成误诊。本文作者查阅了我院1988年1月至1992年1月的系统性红斑狼疮患者共49例,其中心肺受累26例,结合文献复习对其 X 线表现做一探讨。1 临床资料:男6例,女20例,年龄12岁—45岁,平均28.4岁。临床表现:其中以发热、胸痛、呼吸急促,咯血痰等为初发症状者9例,在治疗过程中出现上述症状者12例(有的患者为第二次、第三次住院)。发病初 Systemic lupus erythematosus is an autoimmune disease that can invade various organs of the body, causing more than one-half of patients with heart-lung lesions that invading the chest. The X-ray manifests itself in a variety of forms, which can easily lead to misdiagnosis. The authors reviewed 49 patients with systemic lupus erythematosus from January 1988 to January 1992 in our hospital, including 26 cases of cardiopulmonary involvement, and reviewed the X-ray findings with literature review. 1 Clinical data: 6 males and 20 females, aged 12 years old -45 years old, with an average of 28.4 years old. Clinical manifestations: including fever, chest pain, shortness of breath, hemoptysis sputum as the first symptom in 9 cases, during the treatment of these symptoms in 12 cases (some patients for the second and third hospitalization). Early onset