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一、一般资料 本组23例患者均系住院病人;其中男性20例,女性3例;年龄最大70岁,最小27岁;反复咳痰、咯血病史最长42年,最短5天,咯血量一次少则5~10毫升,多则100~500毫升。 二、诊断依据 (1)咳嗽、咳痰以晨起或卧下时加剧,咳痰量多,放静置后可呈泡沫、粘液、黄脓三层色;(2)有反复咯血病史;(3)肺部听诊呼吸音减低,病变部位可闻及干湿性啰音,叩诊浊音;(4)X线检查见患侧肺纹理增多粗浓、紊乱或见环状或条状透明阴影,以及肺不张,肺炎等继发表现;(5)支气管碘油造影可确定病变范围、部位和性质。
First, the general information of the group of 23 patients were hospitalized patients, including 20 males and 3 females; the oldest 70 years old, minimum 27 years; repeated sputum, the history of hemoptysis up to 42 years, the shortest 5 days, an amount of hemoptysis From 5 to 10 ml, as many as 100 to 500 ml. Second, the diagnosis is based on (1) cough, sputum in the morning or when lying down increased, the amount of sputum, put it aside for foam, mucus, yellow pus three-color; (2) have a history of repeated hemoptysis; (3) Pulmonary auscultation decreased respiratory sounds, lesions can be heard and wet and dry rales, percussion dullness; (4) X-ray examination to see the ipsilateral lungs increased thick thick, disorder or see ring or strip transparent shadow, and the lungs are not Zhang, pneumonia and other secondary manifestations; (5) bronchial lipiodography can determine the extent of lesion, location and nature.