A case report of adult idiopathic pulmonary hemosiderosis diagnosed and treated with integrated traditional Chinese and Western medicine

WANG Dehua; YANG Shuguang; LIANG Zhihui; YU Xueqing

doi:10.16025/j.1674-1307.2026.02.025

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A case report of adult idiopathic pulmonary hemosiderosis diagnosed and treated with integrated traditional Chinese and Western medicine

更新时间：2026-04-08

- A case report of adult idiopathic pulmonary hemosiderosis diagnosed and treated with integrated traditional Chinese and Western medicine
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 2, Pages: 276-279(2026)
- 作者机构：
  
  河南中医药大学第一附属医院国家区域中医（肺病）诊疗中心，郑州 450000
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.02.025
  CLC：
- Received：30 December 2024，
  
  Published：25 February 2026
- 稿件说明：
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王德华，杨曙光，梁志辉，等.中西医结合诊治成人特发性肺含铁血黄素沉着症1例［J］.北京中医药，2026，45（2）：276-279.

WANG Dehua,YANG Shuguang,LIANG Zhihui,et al.A case report of adult idiopathic pulmonary hemosiderosis diagnosed and treated with integrated traditional Chinese and Western medicine[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):276-279.
王德华，杨曙光，梁志辉，等.中西医结合诊治成人特发性肺含铁血黄素沉着症1例［J］.北京中医药，2026，45（2）：276-279. DOI： 10.16025/j.1674-1307.2026.02.025.

WANG Dehua,YANG Shuguang,LIANG Zhihui,et al.A case report of adult idiopathic pulmonary hemosiderosis diagnosed and treated with integrated traditional Chinese and Western medicine[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):276-279. DOI： 10.16025/j.1674-1307.2026.02.025.

摘要

笔者在临床中发现1例以“咳血”为主要表现的“支气管扩张合并感染”，患者最终考虑为特发性肺含铁血黄素沉着症。特发性肺含铁血黄素沉着症成人发病率低，预后差，病理机制尚不明确，极易误诊，临床治疗方案尚无特定标准。本文报告该例成人特发性肺含铁血黄素沉着症并进行相关文献复习，为相关医务工作者提供中西医结合的临床经验。

Abstract

In clinical practice， the author encountered a case initially diagnosed as bronchiectasis complicated by infection， with hemoptysis as the main manifestation， which was ultimately considered to be idiopathic pulmonary hemosiderosis. Idiopathic pulmonary hemosiderosis in adults has a low incidence and a poor prognosis. Its pathological mechanism remains unclear， it is highly prone to misdiagnosis， and there is no established standard for clinical treatment. This article reports this case of adult idiopathic pulmonary hemosiderosis and reviews the relevant literature， with the aim of providing clinical experience in integrated traditional Chinese and Western medicine for medical practitioners.

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references

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