急性镰状细胞疾病患者常可见胸痛、发热、白细胞增多以及胸部X线检查可见新阴影。这些发现究竟是由于感染还是梗塞所致常难以鉴别,因而称之为急性胸部综合征。作者回顾研究13例成人镰状细胞疾病患者中25次连续发作的急性胸部综合征。患者,男6例,女7例。年龄12-45岁,平均22.9岁,此外,这些患者中12例有一次以上非胸部危象。25次发作中23次在入院时出现胸痛。入院时有胸部体征和胸部X线异常者分别只有11次和9次,而余者则在以后发生异常。有双侧放射学改变的9次发作比16次单侧发 Patients with acute sickle cell disease often visible chest pain, fever, leukocytosis and chest X-ray examination showed a new shadow. These findings are due to infection or infarction often difficult to identify, so called acute chest syndrome. The authors reviewed 25 consecutive episodes of acute chest syndrome in 13 patients with adult sickle cell disease. Patients, 6 males and 7 females. Aged 12-45 years, mean 22.9 years. In addition, 12 of these patients had more than one non-chest crisis at one time. 23 episodes of 25 episodes of chest pain on admission. There were only 11 and 9 thoracic signs and chest X-ray abnormalities at hospital admission, while the rest were abnormal afterwards. There were 9 episodes of bilateral radiological changes than 16 episodes of unilateral hair