Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Tokyo, Japan; Center for Pulmonary Circulation and Hemoptysis, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
Center for Pulmonary Diseases, National Hospital Organization Tokyo National Hospital, Tokyo, Japan; Center for Pulmonary Circulation and Hemoptysis, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
Chest. 2023 Jul;164(1):e9-e13. doi: 10.1016/j.chest.2023.01.003.
A 65-year-old man experienced a cough and mild hemoptysis suddenly one morning. He was prescribed tranexamic acid and carbazochrome salicylate by the local clinic at the first visit, and his hemoptysis stopped. However, 2 days later, he experienced recurrent hemoptysis that was prolonged intermittently. He had slight dyspnea and chest discomfort, but no other symptoms, such as sputum, fever, or chest pain. He was referred to our hospital for further assessment of hemoptysis. He had experienced mild hemoptysis of unknown causes 8 years earlier without recurrence until this episode. He had bronchial asthma that was treated with an inhaled corticosteroid and hypertension and hyperuricemia that were untreated with medication. He had no known allergies or family history of lung disease. He did not smoke. The patient denied alcohol consumption, any recent travel, or exposure to TB.
一位 65 岁男性，某天清晨突然出现咳嗽和轻度咯血。首诊于当地诊所，予氨甲环酸和卡巴克络水杨酸钠治疗，咯血停止。但 2 天后再次出现持续性、间歇性咯血，伴有轻度呼吸困难和胸部不适，无咳痰、发热或胸痛等其他症状。遂转至我院进一步评估咯血原因。患者 8 年前曾有轻度不明原因咯血，未再复发，直至此次发作。有支气管哮喘，用吸入皮质激素治疗，高血压和高尿酸血症未用药。无已知过敏或肺病家族史。不吸烟。否认饮酒、近期旅行或接触结核。
