Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqwa 49100, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Respir Med. 2009 Dec;103(12):1828-31. doi: 10.1016/j.rmed.2009.07.007. Epub 2009 Aug 13.
Hemoptysis after physical activity is a well-known phenomenon. Hemoptysis following sexual intercourse is rarely reported. We describe three patients with hemoptysis occurring only after sexual activity and not following other types of physical effort. The underlying causes were congestive heart failure, uncontrolled hypertension and Takayasu arteritis. The literature is reviewed. We conclude that hemoptysis can present rarely following sexual activity and is usually associated with cardiovascular decompensation. It is always necessary to search for other underlying diseases. We suggest that patients with unexplained hemoptysis should be specifically asked about postcoital hemoptysis should be included in the differential diagnosis of every patient with unexplained hemoptysis.
体力活动后咯血是一种众所周知的现象。性交后咯血则很少见。我们描述了 3 例仅在性交后发生咯血而无其他类型体力活动的患者。潜在病因分别为充血性心力衰竭、未控制的高血压和 Takayasu 动脉炎。我们复习了文献。我们的结论是，性交后咯血罕见，但通常与心血管失代偿有关。总是有必要寻找其他潜在疾病。我们建议对于不明原因咯血的患者，应特别询问性交后咯血的情况，性交后咯血应被纳入所有不明原因咯血患者的鉴别诊断中。
