病例向某,男,35岁,住院号24091。慢性咳嗽,劳累后气急7年,间断咯血伴呼吸困难3年。于1989年7月12日入院。患者近3年经常不断咯血。从痰中带血到大量咯鲜血。某地区医院诊为“肺门结核”。抗结核治疗6个月。但呼吸困难逐渐加重,夜间有时不能平卧,咯血仍反复发作。于1989年7月12日突然大量咯血,呼吸困难而收入我院。查体:T36.5,R24,Bp13.3/9.3。神清语明,贫血貌。无颈静脉怒张,双肺呼吸音减弱,无干湿罗音。心界向两侧扩大,心率118次/分,律齐,P_2>A_2,心尖区闻及收缩期奔马律及Ⅲ级粗糙的吹风样杂音。肝右肋缘下4cm,剑突下6cm,质软、缘锐、无触痛。无移动性浊音,下肢无水肿,指(趾) Case to a, male, 35 years old, hospital number 24091. Chronic cough, exhaustion after exertion for 7 years, intermittent hemoptysis with dyspnea 3 years. Admitted to hospital on July 12, 1989. Patient has been constantly hemoptysis for nearly 3 years. Blood from the sputum to a lot of slightly blood. A district hospital diagnosed as “hilar tuberculosis.” Anti-TB treatment for 6 months. However, breathing difficulties gradually increased, at night sometimes can not be supine, hemoptysis is still recurrent. In July 12, 1989 a sudden massive massive hemoptysis, difficulty breathing and income in our hospital. Physical examination: T36.5, R24, Bp13.3 / 9.3. Clear statement, anemic appearance. No jugular vein engorgement, lung breath sounds weakened, no wet and dry rales. Heart to expand on both sides, the heart rate 118 beats / min, law Qi, P_2> A_2, apical area smell and systolic gallop and grade Ⅲ rough hair-like murmur. Liver right costal margin 4cm, xiphoid 6cm, soft, edge sharp, no tenderness. No dullness of movement, no edema of lower limbs, finger (toe)