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病历摘要患者,女,64岁,纱厂退休工人、患者因两月来反复8次大咯血于1988年4月17日入院.2月19日下午,患者无明显诱因实然大咯血,鲜红色,量约半痰盂.经止血、抗感染、对症治疗,咯血次日停止.但以后又反复发作,每次咯血量150ml 以上,积量每日可达800ml 以上.先后用青霉素、链霉素抗感染及静注垂体后叶素、止血药等治疗,咯血数日即可停止,间歇数日～数周又发.4月17日因再发大咯血急诊入院.起病以来无发热、胸痛.间有咳嗽、咯白粘痰,偶咯少量脓痰。食欲一般,体重减轻2公斤.曾多次胸片检查为“左下肺炎”.既往无结核病史.30年前曾因“宫外孕”“阑尾炎”作过两次手术.绝经10年.查体:一般情况可(?)瘦.BP18.7/10.7KPa
Patient, female, 64 years old, retired worker in mill, patient was admitted to hospital on April 17, 1988 due to repeated massive hemoptysis over two months. On the afternoon of February 19, the patient had no obvious predisposition to hemoptysis, , About half of the spittoon after hemostasis, anti-infective, symptomatic treatment, the next day to stop the hemoptysis, but then repeated attacks, each hemoptysis volume of 150ml or more, the plot of up to 800ml per day or more with penicillin, streptomycin Infection and intravenous injection of vasopressin, hemostatic agents and other treatment, hemoptysis can stop a few days, intermittent days to several weeks and made .April 17, due to recurrent hemoptysis emergency admission .From the onset of fever, chest pain. Cough, slightly white phlegm, even a small amount of purulent sputum. Appetite in general, weight loss 2 kg. Have repeatedly chest X-ray examination for the “lower left pneumonia.” No past history of tuberculosis. 30 years ago because of “ectopic pregnancy” “appendicitis” made two surgeries. Menopause 10 years. The situation can be (?) Thin .BP18.7 / 10.7KPa