子宫内膜异位症是一种较常见的妇科疾病,多见于盆腔脏器及盆腔腹膜,肺内异位症较少见。现将子宫内膜肺内异位症1例及随访12年的情况报告如下。女,26岁。既往体健,无慢性咳嗽史,发病前10个月曾做人工流产术(负压吸引)。于1979年7月4日开始出现周期性咯血,每当月经来潮时胸闷、咯血,色鲜红,伴血块,量10～40ml不等,持续1～3d渐止。月经量同往常,无发热、鼻衄等。咯血间期无咳嗽等症状。曾经在南京某医院住院,经内科、五官科检查及妇科内诊检查均无异常发现。化验检查、X胸片及纤维支气管镜检查均正常。咯血块病理报告示:“凝血块中散见少量中性球及极个别分泌期子宫内膜腺体。”临床诊断:支气管感染。经抗炎、止血及中医药治疗,未见疗效。患者呈周期性咯血5个月后,偶因服用避孕药出现咯血量减 Endometriosis is a more common gynecological diseases, more common in pelvic organs and pelvic peritoneum, pulmonary ectopic less common. A case of endometriosis and 12-year follow-up are reported below. Female, 26 years old. Past physical health, no history of chronic cough, 10 months before the onset of abortion (vacuum). Occurred on July 4, 1979 periodic hemoptysis, whenever menstrual cramps chest tightness, hemoptysis, color red, with blood clots, the amount of 10 ~ 40ml range, continued 1 ~ 3d. Menstrual volume as usual, no fever, epistaxis and so on. No symptoms of cough during the period of hemoptysis. Had a hospital in Nanjing, by internal medicine, ENT examination and gynecological examination were no abnormal findings. Laboratory tests, X-ray and fiberoptic bronchoscopy were normal. A hemoptysis pathology report shows: “A small amount of neutral blood clot in the coagulation and very few secretory endometrial glands.” Clinical diagnosis: bronchial infection. After anti-inflammatory, hemostatic and Chinese medicine treatment, no effect. Patients were cyclical hemoptysis after 5 months, due to taking birth control pills appear to reduce hemoptysis