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女患,17岁.因咯血三天于1984年4月21日入院.胸片示Ⅲ中/(-)涂(+)进展期.血沉56mm/h,痰菌(+).经系统抗痨三月,血流正常,痰菌阴转,胸片复查,病灶吸收好转出院.继续服抗痨药9月,至1985年6月,病灶已钙化而停服抗痨药,以后未再咯血.1986～1987年又反复多次咯血,且每次咯血多在月经前2～3天,感胸闷胸痛,其血量多少与月经量呈反向关系,经一般对症处理,咯血停止,当时多次复查胸片均提示右中肺有炎症浸润,血沉不快.痰菌(一).支纤镜检查未提示有子宫内膜样组织改变,至1988年2月,因月经前三天突然咯血约300～400ml而再次住院.拟诊子宫
Female patient, aged 17. Hemoptysis for three days was admitted to hospital on April 21, 1984. Chest X-ray showed Ⅲ / (-) Tu (+) advanced stage, ESR 56mm / h, sputum bacteria In March, blood flow was normal, sputum negative conversion, chest X-ray examination, the lesion improved and discharged from the hospital continue to serve anti-tuberculosis medicine in September, to June 1985, the lesion has been calcified and stopped taking anti-tuberculosis drug, no further hemoptysis. 1986-1987 and repeated hemoptysis many times, and each hemoptysis more than 2 to 3 days before menstruation, chest tightness and chest pain, the amount of blood and menstrual flow was inversely related to the general symptomatic treatment, hemoptysis stopped, then many times Review chest X-ray showed inflammation infiltration of the right lung, erythrocyte sedimentation rate sputum bacteria (a). Micronegoscopy did not prompt endometrial-like tissue changes to February 1988, due to sudden hemoptysis three days before menstruation about 300 ~ 400ml and hospitalized again