患者25岁,住院号70640。产后4个半月,咯血40~+天,呼吸困难20~+天于1992年5月21日住院。患者于1992年1月7日足月顺产一男活婴,产时失血不多。产后阴道流血持续2~+月,色鲜红,量时多时少,未治疗。4月初无明显诱因低热、咳嗽、咯血,红色量多,并伴右肩部疼痛。曾在当地医院给抗结核治疗40~+天,咯血无好转,并出现气急、呼吸困难,于5月初到上海某医院求 Patient 25 years old, hospital number 70640. 4 and a half months after delivery, hemoptysis 40 ~ + days, breathing difficulties 20 ~ + days in May 21, 1992 hospitalization. Patients in January 7, 1992 full-term birth of a male living baby, blood loss during labor. Postpartum vaginal bleeding continued 2 ~ + months, bright red, when the amount of more and less less, untreated. Early April no obvious incentive to fever, cough, hemoptysis, red volume, and with right shoulder pain. Has been in the local hospital for anti-TB treatment 40 ~ + days, hemoptysis did not improve, and there was shortness of breath, difficulty breathing, in early May to Shanghai, a hospital seeking