Zúñiga S, De Mañana M, Monge M, García C, González S, Iturriaga L, Sánchez I
Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile.
Rev Med Chil. 2000 Mar;128(3):323-9.
Hemoptysis is an infrequent symptom in childhood and potentially life threatening. The most common causes in this age group are bronchiectasis secondary to cystic fibrosis, cardiovascular and pulmonary congenital anomalies and a miscellaneous group of causes including retained intrabronchial aspirated foreign bodies. We report a previously healthy 5-year-old girl with recurrent pneumonias associated with episodes of hemoptysis. She was admitted in our institution to investigate the persistence of hemoptysis. Based on clinical history, aspiration of a vegetal foreign body was postulated as the etiology and it was confirmed in the pathological examination after surgical exploration, with pulmonary lobe resection. The importance of a good history taking in pediatric hemoptysis is emphasized.
咯血在儿童期是一种不常见的症状，且可能危及生命。该年龄组最常见的病因是继发于囊性纤维化的支气管扩张、心血管和肺部先天性异常，以及包括支气管内吸入异物残留在内的其他多种病因。我们报告了一名此前健康的5岁女孩，她反复出现肺炎并伴有咯血。她因咯血持续不愈入住我院进行检查。根据临床病史推测病因是植物性异物吸入，手术探查后的病理检查证实了这一点，并进行了肺叶切除术。强调了在小儿咯血中详细询问病史的重要性。
