目的分析HIV阳性肺部病变患者的临床资料,以提高临床工作警惕性。方法回顾性分析2012年6月—2013年10月徐州市中心医院呼吸科诊治的11例HIV阳性患者的临床症状、胸部CT表现、实验室检查等。结果 11例患者均有发热、咳嗽症状,3例存在口腔溃疡、腹泻,7例肺部可闻及湿啰音;胸部CT表现:1例示纵隔及肺门淋巴结肿大,4例肺间质性病变,6例单侧肺炎表现,1例胸腔积液。结论对于发热及肺部病变患者,除积极询问病史外,有必要行HIV抗体检测,同时做好宣教工作。 Objective To analyze the clinical data of patients with HIV-positive lung disease so as to improve the vigilance of clinical work. Methods The clinical symptoms, chest CT findings and laboratory tests of 11 HIV-positive patients diagnosed and treated in Department of Respiratory Medicine of Central Hospital of Xuzhou from June 2012 to October 2013 were retrospectively analyzed. Results All of the 11 patients had fever and cough, 3 had oral ulcer and diarrhea, 7 had lung ailments and wet ailments. The CT findings of the chest showed that the mediastinal and hilar lymph nodes were enlarged in 1, the pulmonary interstitial Lesions, 6 cases of unilateral pneumonia, 1 case of pleural effusion. Conclusion In patients with fever and pulmonary disease, in addition to actively asking for medical history, it is necessary to conduct HIV antibody testing, while doing the mission.