白塞病以表现三联征为其特点,而肺动脉瘤是该病罕见的一种并发症。本文报告一例双侧肺动脉瘤的白塞病病人,但缺乏临床常用于诊断该病的标准。病例报告病人男性22岁,因反复咳嗽、咯血、发热和体重减轻于1989年6月入院。同年1月曾患右叶肺炎经用抗生素治愈。过去无外伤、近期手术、卧床和心功能衰竭等病史。入院时体检左下肺有吸气中-末期捻发音。白细胞数12 000,分类正常,血沉92mm/h,结核菌素试验和痰耐酸菌检查均阴性,痰细胞学、血培养和棘球蚴血清学检查亦均阴性,心电图正常。X 线胸片显示左、右肺门周围分别有一6×8cm 和2×3cm 的圆形阴影,但5个月前的胸片则正 Behcet’s disease is characterized by the appearance of triad, and pulmonary aneurysm is a rare complication of the disease. This article reports a case of Behcet’s disease in patients with bilateral pulmonary aneurysms, but the lack of clinical commonly used in the diagnosis of the disease standard. Case Report Male, 22 years old, admitted to hospital in June 1989 for repeated cough, hemoptysis, fever and weight loss. In the same year in January had a right leaf pneumonia cured with antibiotics. No past trauma, recent surgery, bed rest and heart failure and other medical history. On admission, the left lower lungs had inspiratory mid-end twisting sounds. White blood cell count 12 000, normal classification, ESR 92mm / h, tuberculin test and sputum acid-fast bacteria were negative, sputum cytology, blood culture and hydatid cyst serum tests were negative, normal ECG. X-ray showed left and right hilar around a 6 × 8cm and 2 × 3cm round shadow, but 5 months ago the chest is positive