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我院1982年～1989年共收治特发性肺含铁血黄素沉着症13例。多有长期误诊。误诊原因是对本病认识不足。临床表出为反复咳嗽和咯血或痰中带血,胸部X线呈网状结节影,大部分有缺铁性贫血表现。确诊靠胃液、痰查见含铁血黄素巨噬细胞,但必须排除继发性肺出血可能。用肾上腺皮质激素及免疫抑制可改善症状。死亡2例,死亡原因系肺内反复出血使肺纤维化而影响心肺功能。改善预后的关键在于早期诊断和治疗。
Our hospital from 1982 to 1989 were treated in 13 cases of idiopathic pulmonary hemosiderosis. Long-term misdiagnosis. Misdiagnosis is the lack of knowledge of the disease. Clinical manifestations of repeated cough and hemoptysis or bloody sputum, chest X-ray showed nodular, most of the performance of iron deficiency anemia. Confirmed by the gastric juice, sputum see hemosiderin macrophages, but may have to rule out secondary pulmonary hemorrhage may. Adrenal cortex hormones and immunosuppression can improve symptoms. Death in 2 cases, the cause of death was repeated pulmonary hemorrhage pulmonary fibrosis and affect cardiopulmonary function. The key to improving prognosis is early diagnosis and treatment.