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例1,女,37岁。因咳嗽、咯血伴低热半月,以支扩咯血收住院。体检:心肺(-)。胸片右下肺纹增多,夹有少量小结节影,治疗无效,每天咯血50～100ml。多次痰找脱落细胞及抗酸杆菌(-),纤支镜肺活检为含铁血黄素沉着症。经治疗后胸片复查、两肺见弥漫性小结节影。最后出现胸闷,气喘,进行性呼吸困难,死于呼吸衰竭,死后病理检查为肺泡细胞癌。例2,男49岁。因间断痰血7个月,咯血2个月,以肺结核收住院。体检:一般情况良好。心肺(-)。胸片两上中肺斑片影。治疗无效,每天咯血50～80ml。多次痰找抗酸杆菌及脱落细胞(-),纤支镜肺活检(-),胸部CT 考虑肺结核。患者进行性贫血、
Example 1, female, 37 years old. Due to cough, hemoptysis with fever half a month to support expansion hemoptysis admitted to hospital. Physical examination: cardiopulmonary (-). Chest lower right lung pattern increased, with a small amount of small nodules, treatment is invalid, daily hemoptysis 50 ~ 100ml. Multiple phlegm to find exfoliated cells and acid-fast bacilli (-), bronchoscopy lung biopsy hemosiderosis. After treatment of chest X-ray examination, see the diffuse small nodules of both lungs. Finally, chest tightness, asthma, progressive dyspnea, died of respiratory failure, pathological examination after death for alveolar cell carcinoma. Example 2, male 49 years old. Due to intermittent sputum blood for 7 months, 2 months of hemoptysis, admitted to hospital for tuberculosis. Physical examination: generally good. Cardiopulmonary (-). Chest radiograph in two lung shadow. Treatment is invalid, daily hemoptysis 50 ~ 80ml. Sputum looking for acid-fast bacilli and exfoliated cells (-), bronchoscopy lung biopsy (-), chest CT consider tuberculosis. Patients with anemia,