风湿性肺炎是风湿活动主要表现之一,已逐渐被广大临床工作者所重视。近年我们遇见3例,报告如下。例1 女,20岁。发热,咳嗽2月,外院胸片示左下肺片状模糊阴影,诊断为肺炎,用抗生素治疗无效,于1986年4月19日住我院。3年前有关节酸痛史。体检:T38℃,R25次/分,BP13.3/8.0Kpa(100/60mmHg)。心尖部Ⅲ级收缩期杂音,向左腋下传导,HR118次/分,律齐。两肺底闻及湿性罗音。实验室检查:Hb70g/L,RBC2.8×10~(12)/L,WBC12×10~9/L,N80％;ESR65mm/h,ASO<500~u,粘蛋白84mg/L。胸片示两下肺斑片状阴 Rheumatic pneumonia is one of the main manifestations of rheumatic activity, has gradually been the majority of clinicians attach importance. In recent years, we met three cases, the report is as follows. Example 1 Female, 20 years old. Fever, cough February, outside the chest radiograph showed the shadow of the left lower lung flakes, diagnosis of pneumonia, antibiotic treatment ineffective, in April 19, 1986 live in our hospital. 3 years ago, a history of joint pain. Physical examination: T38 ℃, R25 beats / min, BP13.3 / 8.0Kpa (100 / 60mmHg). Apex Ⅲ systolic murmur, left armpit conduction, HR118 times / min, law Qi. At the end of both lungs and wet rales. Laboratory tests: Hb70g / L, RBC2.8 × 10-12 / L, WBC12 × 10-9 / L, N80%; ESR65mm / h, ASO <500 ~ u, mucin 84mg / L. Chest radiograph showed lung patchy two