患者女性,49岁。因“间断胸闷、咳嗽、咯血1+个月”,于2006年7月15日入院。曾在当地医院拟诊为“肺结核,肿瘤性病变待排,缺铁性贫血”,给予相应治疗无效。既往体健,无过敏史、寄生虫接触史及家族遗传史。体格检查:体温36.5 ℃,脉搏70次/min,呼吸22次/min,血压16.5/11.5 kPa,SaO2 97%(未吸氧);轻度贫血貌,皮肤黏膜、浅表淋巴结及心肺均未见异常,腹平软,肝右肋下2 cm,质中偏软,无压痛,脾肋下未及。
Citation:
宋蓉,施维,张劲农,马万里. 成人特发性肺含铁血黄素沉着症一例. Chinese Journal of Respiratory and Critical Care Medicine, 2007, 6(1): 66-67. doi:
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Turay UY,Ergun P,Erdogan Y,et al.Idiopathic pulmonary haemosiderosis.Tuberk Toraks,2004,52:382-385.
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赵鸣武.肺含铁血黄素沉着症.中国实用内科杂志,2002,22:70-71.
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Torres MJ,Giron MD,Corzo JL,et al.Release of inflammatory mediators after cow’s milk intake in a newborn with idiopathic pulmonary hemosiderosis.J Allergy Clin Immunol,1996,98:1120-1123.
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Ioachimescu O.Idiopathic pulmonary hemosiderosis in adults.Pneumologia,2003,52:38-43.
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Allue X,Wise MB,Beaudry PH.Pulmonary function studies in idiopathic pulmonary hemosiderosis in children.Am Rev Respir Dis,1973,107:410-415.
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Ewan PW,Jones HA,Rhodes CG,et al.Detection of intrapulmonary hemorrhage with carbon monoxide uptake.Application in goodpasture’s syndrome.N Engl J Med,1976,295:1391-1396.
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Breckenridge RL Jr,Ross JS.Idiopathic pulmonary hemosiderosis:a report of familial occurrence.Chest,1979,75:636-639.
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Cohen S.Idiopathic pulmonary hemosiderosis.Am J Med Sci,1999,317:67-74.
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- 1. Turay UY,Ergun P,Erdogan Y,et al.Idiopathic pulmonary haemosiderosis.Tuberk Toraks,2004,52:382-385.
- 2. 赵鸣武.肺含铁血黄素沉着症.中国实用内科杂志,2002,22:70-71.
- 3. Torres MJ,Giron MD,Corzo JL,et al.Release of inflammatory mediators after cow’s milk intake in a newborn with idiopathic pulmonary hemosiderosis.J Allergy Clin Immunol,1996,98:1120-1123.
- 4. Ioachimescu O.Idiopathic pulmonary hemosiderosis in adults.Pneumologia,2003,52:38-43.
- 5. Allue X,Wise MB,Beaudry PH.Pulmonary function studies in idiopathic pulmonary hemosiderosis in children.Am Rev Respir Dis,1973,107:410-415.
- 6. Ewan PW,Jones HA,Rhodes CG,et al.Detection of intrapulmonary hemorrhage with carbon monoxide uptake.Application in goodpasture’s syndrome.N Engl J Med,1976,295:1391-1396.
- 7. Breckenridge RL Jr,Ross JS.Idiopathic pulmonary hemosiderosis:a report of familial occurrence.Chest,1979,75:636-639.
- 8. Cohen S.Idiopathic pulmonary hemosiderosis.Am J Med Sci,1999,317:67-74.