Department of Respiratory Medicine, Kyoto University Hospital, Kyoto, Japan.
Heart Lung. 2012 May;41(3):290-3. doi: 10.1016/j.hrtlng.2011.08.003. Epub 2011 Oct 22.
We report a 35-year-old man who presented with pulmonary hemorrhage induced by an epileptic seizure. He had experienced recurrent episodes of massive hemoptysis after epileptic seizures since the age of 28 years. He was admitted to Kyoto University Hospital with massive hemoptysis and hypoxia after an epileptic seizure of a few minutes' duration. Radiographic signs of infiltrations and hemorrhagic bronchoalveolar lavage fluid were observed. He was intubated and successfully treated with anti-epilepsy drugs and corticosteroids. Epileptic seizures may have induced increased pulmonary vascular permeability and structural damage to the blood-gas barrier, which may have caused pulmonary hemorrhage. Pulmonary hemorrhage could be in the list of differential diagnoses of hemoptysis in patients with epilepsy.
我们报告了一例 35 岁男性，因癫痫发作引起的肺出血。自 28 岁以来，他在癫痫发作后反复发作大量咯血。他在癫痫发作几分钟后出现大咯血和缺氧，被收入京都大学医院。观察到浸润和出血性支气管肺泡灌洗液的放射学征象。他被插管，并成功地用抗癫痫药物和皮质类固醇治疗。癫痫发作可能导致肺血管通透性增加和气血屏障结构损伤，从而导致肺出血。肺出血可能是癫痫患者咯血的鉴别诊断之一。
