目的　探讨川崎病并肺部病变的临床特点。方法　回顾分析 4 2例川崎病并肺部病变的临床资料。结果　轻度呼吸道症状表现 32例 (76 .2 % ) ,中重度表现 5例 (11.9% )。肺部听诊均有两肺呼吸音粗糙 (10 0 % ) ,有干音或痰鸣音 6例 (14 .3% ) ,中细湿音 1例 (2 .4 % )。X线胸片累及两侧肺部 39例 (92 .9% ) ,单侧肺部 3例 (7.1% ) ,主要表现为两肺野内有斑点状或斑或斑片状阴影 (6 6 .7% )或两肺纹理增粗紊乱 (2 6 .2 % )。经对川崎病的系统治疗并辅以一般抗生素 ,所有病例肺部症状体征在 2周内消失 ,X线胸片在2～ 3周恢复正常。结论　川崎病并肺部病变的临床症状轻、体征少 ,诊断主要依据胸部X线。肺部病变无需特殊治疗 ,可随着川崎病的系统治疗而恢复。 Objective To explore the clinical features of Kawasaki disease with pulmonary lesions. Methods Retrospective analysis of 42 cases of Kawasaki disease and lung disease clinical data. Results Mild respiratory symptoms showed 32 cases (76.2%) and moderate to severe symptoms (5 cases, 11.9%). Pulmonary auscultation both lung breath sounds rough (10 0%), dry or phlegm phlegm in 6 cases (14.3%), wet fine sound in 1 case (2.4%). X-ray chest involved 39 cases (92.9%) of the lungs on both sides and 3 cases (7.1%) of the unilateral lungs, mainly showing spots or spots or patchy shadows in both lung fields (66.7 %) Or thickening of both lungs (26.2%). After systematic treatment of Kawasaki disease and supplemented with general antibiotics, all cases of pulmonary symptoms and signs disappeared within 2 weeks, X-ray chest in 2 to 3 weeks to return to normal. Conclusion Kawasaki disease and lung disease clinical symptoms of light, less signs, the diagnosis is mainly based on the chest X-ray. Pulmonary lesions require no special treatment and may recover with systemic treatment of Kawasaki disease.