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特发性肺含铁血黄素沉着症临床少见,常易误诊。兹将我院确诊两例作一报告,以引起临床医生注意。例1.男,17岁,学生,住院号A0019223。因反复咳嗽,咯血7年,于1980年7月1日住院。7年前感冒后咳嗽痰中带血,对症治疗“痊愈”,后每冬发作渐趋加重,有时咳脓性痰、血痰,曾按“气管炎”治疗,症状可缓解。近五个月来症状加重,呈持续性血痰伴发热盗汗,活动后气短,当地诊断“肺结核”。用抗痨药4个月无明显改善,且咯血气短加重。无结核病接触
Idiopathic pulmonary hemosiderosis clinical rare, often misdiagnosed. Two cases of our hospital will be diagnosed for a report to attract clinicians attention. Example 1. Male, 17 years old, student, hospital number A0019223. Due to repeated cough, hemoptysis for 7 years, in July 1, 1980 hospitalization. 7 years ago after a cold cough phlegm blood, symptomatic treatment “cured”, after each onset of winter aggravating, and sometimes purulent sputum, bloody sputum, had “tracheitis” treatment, the symptoms can be alleviated. In the past five months, the symptoms were aggravated, with persistent bloody phlegm with fever and night sweats, shortness of breath after activities, and local diagnosis of “tuberculosis.” With anti-drug 4 months no significant improvement, and shortening hemoptysis. No TB contact