Lai Ying-Rong, Hong Jun-Mou, Liu Zhen-Guo, Deng Zhen-Sheng, Yeung Sai-Ching J, Cheng Chao
Department of Pathology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Department of Thoracic Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Ann Vasc Surg. 2014 Apr;28(3):741.e7-10. doi: 10.1016/j.avsg.2013.07.015. Epub 2013 Oct 24.
Massive hemoptysis in Behçet disease (BD) is rare but often fatal. This report presents a 28-year-old man with recurrent massive hemoptysis. He was diagnosed with bilateral multiple pulmonary artery aneurysms (PAAs), coronary artery aneurysm, and ventricular pseudoaneurysm from BD. The patient underwent emergency right lower lobectomy with no obvious complications. No hemoptysis recurred during an 18-month follow-up. This report also reviews the occurrence of PAAs in BD, with an emphasis on the treatment approaches.
白塞病（BD）中的大量咯血罕见但往往致命。本报告介绍了一名28岁反复出现大量咯血的男性。他被诊断患有白塞病导致的双侧多发性肺动脉瘤（PAA）、冠状动脉瘤和心室假性动脉瘤。该患者接受了急诊右下肺叶切除术，无明显并发症。在18个月的随访期间未再发生咯血。本报告还回顾了白塞病中PAA的发生情况，并重点介绍了治疗方法。
