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1 临床资料 患者女,37岁。7年前因左胸部挫伤后发生小量咯血,就诊于当地医院,X线胸透心肺无异常,经予止血剂治疗好转。此后经常反复小量咯血,经胸部X线检查常有左肺下叶小片状阴影出现,虽经抗炎、止血使阴影部分消散,但未能完全吸收。1989年1月又因咯血在当地医院行胸部X线断层摄片显示左肺下叶圆形阴影,中心密度低,支气管碘油造影未见支气管扩张改变。1989年7月19日转入我
1 Clinical data Patient, 37 years old. 7 years ago due to left chest contusion occurred after a small amount of hemoptysis, visited a local hospital, chest X-ray no abnormal heart and lungs, after hemostatic treatment improved. Since then often a small amount of hemoptysis, the chest X-ray often appear in the left lobe of small flaky shadows appear, although anti-inflammatory, bleeding to the shadows disappear, but failed to completely absorbed. In 1989 January because of hemoptysis in the local hospital underwent chest X-ray film showed a circular shadow of the left lower lobe, low center density, bronchial lipiodol angiography no bronchiectasis. July 19, 1989 transferred to me