论文部分内容阅读
特发性肺含铁血黄素沉积症(IPH)是一种少见病,经纤维支气管镜肺活检(TBLB)确诊者更少见,现报告1例。女性,19岁。1982年3月出现乏力,皮肤苍白,化验Hb4.5g％,5月份咯血几口,发热38℃左右,两肺点片状阴影,诊断为双肺结核并贫血,服用抗结核、硫酸亚铁、叶酸等药物2年,贫血纠正,但肺部阴影未完全消失。以后反复发生贫血,服铁剂等药物可恢复。1988年11月再次小量咯血,Hb3.0g％,两肺出现弥漫性粟粒样阴影,不发热,被诊为粟粒型肺结核,予抗痨(SM、INH、EB、RFP)及铁剂等药物治疗半年,除贫血恢复正常外,肺部阴影无变化,遂于1989年5月31日入我科。检查:一般情况好,无阳性体征发现。血尿粪常规、肝功、肾功、
Idiopathic pulmonary hemosiderosis (IPH) is a rare disease, diagnosed by bronchoscopic lung biopsy (TBLB) is even more rare, is reported in 1 case. Female, 19 years old. March 1982 appeared weak, pale skin, laboratory Hb4.5g%, hemoptysis in May few mouthfuls of fever 38 ℃, the shadow of two lung punctures, the diagnosis of double tuberculosis and anemia, taking anti-TB, ferrous sulfate, folic acid And other drugs for 2 years, anemia correction, but the lung shadow did not completely disappear. After repeated anemia, iron and other drugs can be restored. In 1988 November again a small amount of hemoptysis, Hb3.0g%, the two lung diffuse miliary shadow, not fever, was diagnosed with miliary tuberculosis, anti-tuberculosis (SM, INH, EB, RFP) and iron and other drugs Treatment for six months, except anemia returned to normal, the lung shadow no change, then in May 31, 1989 into my department. Check: Generally good, no positive signs found. Hematuria stool routine, liver function, kidney function,