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支气管结石临床较少见,在咯石前无特征性临床表现,严重者出现致命的大咯血及肺不张,常因咯血或阻塞而误诊为支气管扩张、肺结核、肺不张等疾病,诊断常有困难。我院遇到1例误诊达9年之久,报告如下。 患者,女性,32岁。因咳嗽,喘息9年,加重1周伴咯血于1990年2月13日入院。患者9年来反复发作阵发性剧咳,胸憋,气短,痰中带血,胸片示右肺有多处钙化灶。曾先后诊断为慢性支气管炎、支气管哮喘、支气管扩张,给抗感染及对症治疗,病情时好时坏。入院前1周阵咳频繁伴大咯血,1周内累计咯血2000毫升。20年前患肺门淋巴结核已治愈。体检
Clinical bronchial stones are rare, no characteristic clinical manifestations before the stone, in severe cases of fatal hemoptysis and atelectasis, often due to hemoptysis or obstruction and misdiagnosed as bronchiectasis, tuberculosis, atelectasis and other diseases, the diagnosis of often Difficulties. 1 case of misdiagnosis in our hospital for 9 years, the report is as follows. Patient, female, 32 years old. Due to coughing, wheezing for 9 years, aggravating one week with hemoptysis was admitted on February 13, 1990. Patients with recurrent episodes of severe cough 9 years, chest choke, shortness of breath, bloody sputum, chest radiograph showed multiple calcifications in the right lung. Has diagnosed as chronic bronchitis, bronchial asthma, bronchiectasis, to fight infection and symptomatic treatment, the condition of good and bad time. 1 week before admission cough cough with frequent massive hemoptysis, hemoptysis accumulated within 1 week 2000 ml. Hilar lymphoid tuberculosis was cured 20 years ago. Physical examination