Chang J C, Driver A G, Townsend C A, Kataria Y P
Sarcoidosis. 1987 Mar;4(1):49-54.
The medical records of 433 patients with sarcoidosis were reviewed to determine the prevalence and significance of hemoptysis in this disease. Twenty-five patients (6%) were found to have hemoptysis. Nineteen of the 25 patients had mild hemoptysis, four had moderate, and two had massive hemoptysis. The clinical, roentgenographic, and laboratory features in patients with hemoptysis were compared with those from an age, race, and sex matched control group of sarcoidosis patients without hemoptysis. With the exception of eye involvement which occurred with greater frequency in control patients, no significant differences were found between the two groups. While bronchoscopy may be useful in establishing a diagnosis of endobronchial sarcoidosis, identification of a specific bleeding site is not likely in the absence of massive hemoptysis or localized radiographic abnormalities. Corticosteroid therapy may be useful to control hemoptysis in some patients.
回顾了433例结节病患者的病历，以确定咯血在该病中的发生率及其意义。发现25例患者（6%）有咯血症状。25例患者中，19例有轻度咯血，4例为中度，2例为大量咯血。将咯血患者的临床、影像学和实验室特征与年龄、种族和性别匹配的无咯血结节病对照组患者的特征进行了比较。除对照组患者眼部受累频率较高外，两组之间未发现显著差异。虽然支气管镜检查可能有助于诊断支气管内结节病，但在没有大量咯血或局部影像学异常的情况下，不太可能确定具体的出血部位。皮质类固醇疗法可能有助于控制某些患者的咯血。
