Chang J C, Cregler L L
Veterans Affairs Medical Center, Bronx, New York.
J Natl Med Assoc. 1994 May;86(5):383-6.
This article reports a case of profuse hemoptysis in pulmonary embolism and reviews the literature. A 74-year-old patient with hypertension and dilated cardiomyopathy was admitted to the hospital for exacerbation of congestive heart failure and hemoptysis. During hospitalization, the patient had hemoptysis of 270 cc during a 24-hour period. Chest radiograph showed bilateral lower lobe infiltration. Fiberoptic bronchoscopy was performed and revealed active bleeding from both lower lobes of the lungs. An endobronchial lesion was not seen, and the patient had an open lung biopsy. Histological examination of the lung tissue revealed an organized thrombus.
本文报道了一例肺栓塞致大量咯血的病例并进行文献复习。一名74岁患有高血压和扩张型心肌病的患者因充血性心力衰竭加重及咯血入院。住院期间，患者在24小时内咯血270毫升。胸部X线片显示双侧下叶浸润。进行了纤维支气管镜检查，显示双侧肺下叶有活动性出血。未发现支气管内病变，遂对患者进行了开胸肺活检。肺组织的组织学检查显示有组织化血栓形成。
