患者 ,男 ,5 7岁。因咳嗽、咯血、鼻出血 2d于2 0 0 2年 6月 17日收治入院。行纤维内镜检查发现 ,右侧后鼻孔区毛细血管曲张、破裂 ,有活动性出血 ,气管右侧壁、右侧支气管、右侧二级支气管内均有同与后鼻孔所见病损。胸部X线检查及CT扫描 :右中下肺炎。痰和咽拭培养 :均为副流 Patient, male, 57 years old. Due to cough, hemoptysis, epistaxis 2d on June 17, 2002 admitted to hospital. Line fiberoscopy found that the right posterior nostril area capillary varicosity, rupture, active bleeding, tracheal right side wall, the right bronchus, the right side of the second bronchial lesion with the same after the nostril. Chest X-ray examination and CT scan: right middle and lower pneumonia. Sputum and pharyngeal swab culture: are secondary flow