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患者男,28岁,住院号158129.无明显诱因下,在12小时内咯血2次,总量600ml,于1989年5月23日下午急诊入院.患者以往体健,无慢性咳嗽及咯血史.入院体检:体温37℃,呼吸18次/分,血压15/9kPa.神清,精神尚可,浅表淋巴结无肿大,皮肤和粘膜来见出血点、瘀斑.左下肺少量湿性罗音,心率80次/分,律齐,无杂音.腹部无殊,两下肢无浮肿,神经系统检馇(一)血常规正常,出、凝血时间正常.胸片:两下肺纹理增粗.入院后按常规止血、抗炎治疗,静注垂体后叶素和高渗氯化钠无效.此后3天内反复略血总量达5000～6000ml,给输血3200ml.因药物止血无效,遂于6月28日上午作肺支气管动脉插管,注射栓塞剂止血.经右
Patient male, 28 years old, hospital number 158129. Without apparent inducement, hemoptysis twice within 12 hours, a total volume of 600ml, was admitted to the hospital on the afternoon of May 23, 1989. Patients were previously healthy, had no history of chronic cough and hemoptysis. Admission physical examination: body temperature 37 ℃, breathing 18 beats / min, blood pressure 15 / 9kPa. God clear, the spirit is acceptable, superficial lymph nodes without swelling, skin and mucous membrane to see the bleeding points, Heart rate 80 beats / min, law Qi, no noise. Abdomen no special, no lower extremity edema, nervous system inspection 馇 (a) blood normal, out, coagulation time is normal. According to conventional hemostasis, anti-inflammatory treatment, intravenous injection of vasopressin and hypertonic sodium chloride ineffective .After three days repeated a total of 5000 ~ 6000ml blood, giving blood transfusion 3200ml. Due to drug stop bleeding, then on June 28 Morning for pulmonary bronchial artery intubation, injection of embolic agent to stop bleeding