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1919年Goodpasture首先报告1例,由于流感并发症而反复咯血的男性青年患者,尸解证明有显著的肺出血及肾小球肾炎改变。Stanton和Tange于1958年报告9例,建议命名为Goodpasture’s综合征。欧美文献上报道的已超过百余例,国内文献报道不多。我院收治2例均死亡,其中1例已报告。现将另1例报告如下。 患者,18岁,男,汉族,反复咳嗽咯血4个月余,伴心悸、气短、低热13天,于1979年12月18日1时入院。半年前无明显诱因出现间歇性轻微咳嗽,白色粘痰,同年8月下旬因过劳,出汗多,咳嗽痰中带血,为鲜红色血块;此后,每天咳痰均带血,逐日
In 1919 Goodpasture first reported 1 case of young male patients with recurrent hemoptysis due to flu complications. The autopsy demonstrated significant pulmonary hemorrhage and glomerulonephritis changes. Nineteen patients were reported by Stanton and Tange in 1958, suggesting Goodpasture’s syndrome. More than 100 cases have been reported in the European and American literature, and there are not many reports in the domestic literature. 2 cases were admitted to our hospital, of which 1 case was reported. The other one is reported below. Patients, 18 years old, male, Han nationality, repeated cough and hemoptysis more than 4 months, with heart palpitations, shortness of breath, fever 13 days, at 1:00 on December 18, 1979 admission. Six months ago there was no obvious incentive intermittent mild cough, white phlegm, the same year in late August due to overwork, sweating, bloody cough sputum, as bright red blood clot; thereafter, every day sputum are bloody, daily