咯血伴有X线肺泡性改变要考虑为肺泡内出血(IAH)。典型病例预后恶劣,往往死亡。病因常与某些全身性(尤以免疫性)疾病有关。最常见于Goodpasture综合征、Wegener病和红斑性狼疮时,其发生率分别为60～80%、1～4%及1～9%。作者报道5例女性患者(17～69岁)除肺部病变外还有肾脏、心脏、关节、神经、肌肉、颌下、腮腺以及肝脏等方面的疾病。IAH有时为全身性疾病的首发症状,甚至发生在全身疾病还未出现之前,相隔时间差异 Hemoptysis accompanied by X-ray alveolar changes to be considered as alveolar hemorrhage (IAH). The typical case of poor prognosis, often death. Etiology often associated with some systemic (especially immune) disease. The most common in the Goodpasture syndrome, Wegener disease and lupus erythematosus, the incidence rates were 60 to 80%, 1 to 4% and 1 to 9%. The authors report that in 5 female patients (17-69 years), in addition to lung disease, there were other diseases in the kidney, heart, joints, nerves, muscles, submandibular, parotid and liver. IAH is sometimes the first symptom of systemic disease, even before systemic disease has not occurred, the time difference between